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Effect of DNA ploidy classification on prognosis in breast cancer

โœ Scribed by Heikki Joensuu; Kalle Alanen; Ursula G. Falkmer; Pekka Klemi; Stig Nordling; Yorghos Remvikos; Sakari Toikkanen


Publisher
John Wiley and Sons
Year
1992
Tongue
French
Weight
633 KB
Volume
52
Category
Article
ISSN
0020-7136

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โœฆ Synopsis


A series of 327 breast cancers was analyzed for DNA ploidy by flow cytometry from paraffin-embedded tissue, and the resulting DNA histograms were classified independently by 6 researchers in the field as DNA diploid (Di), aneuploid (An), tetraploid (Te), multiploid (Mu), or technically uninterpretable. The frequency of diploid, aneuploid. tetraploid and multiploid cancers varied from 28 to 41%, 33 to 49%. 8 to 21% and 2 to 6%. According to the scale Di-An-Te-Mu, DNA ploidy was not significant/y associated with breast-cancer mortality by 2 classifiers, but if DNA euploid cancers (Di+Te) were tested against non-euploid, or diploid cancers against non-diploid, all classifiers found DNA euploid and diploid cancers to have better prognosis. Mortality associated with diploid or tetraploid cancers decreased with improving histogram quality and increasing uniformity of classification, whereas that associated with aneuploid cancers remained unaltered. Among the cases where all classifiers agreed on ploidy, tetraploid. diploid and aneuploid cancers were associated with IOOo/o, 88% and 68% 5-year survival rates. In this sub-set the S-phase fraction and possibly DNA ploidy were independent prognostic factors, together with histological grade, axillay node status, and primary tumor size.


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