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J Clin Pathol 58:196-201 doi:10.1136/jcp.2004.018515
  • Original article

Tumour size and vascular invasion predict distant metastasis in stage I breast cancer. Grade distinguishes early and late metastasis

Table 5

 Early versus late distant metastasis in cases, median 3.7 years

Variable Early Late p Value
BR, Bloom and Richardson; DCIS, ductal carcinoma in situ; IDC, invasive ductal carcinoma; ILC, invasive lobular carcinoma; MAI, mitotic activity index.
Tumour size
    ⩽1 cm 2 5
    >1 and ⩽1.5 13 11
    >1.5 and ⩽2 10 9 0.547
Tumour size
    <1 cm 0 3
    ⩾1 cm 25 22 0.235
BR grade
    1 2 9
    2 8 11
    3 15 5 0.008
BR grade
    1/2 10 20
    3 15 5 0.009
Mitotic score (BR)
    1 8 18
    2 7 3
    3 10 4 0.025
MAI
    <10 15 21
    ⩾10 10 4 0.115
Pleomorphism score (BR)
    1 0 5
    2 6 11
    3 19 9 0.006
Tubule formation score (BR)
    1 2 1
    2 3 6
    3 20 18 0.588
Tumour type
    IDC 25 18
    ILC 0 5
    Other 0 2 0.009
Multifocal
    No 23 22
    Yes 2 3 1.000
Vessel invasion
    No 19 21
    Yes 6 4 0.725
DCIS extensive
    No 17 19
    Yes 8 6 0.753
DCIS grade
    0 17 19
    1 of 2 2 3
    3 6 3 0.648
Screen detected
    No 6 5
    Yes 19 20 1.000
Type of surgery
    Amputation 11 14
    Lumpectomy 14 11 0.572
Radiotherapy
    Yes 14 12
    No 11 13 0.777
Side
    Left 14 9
    Right 11 16 0.256
Age
    <50 10 6
    50–69 13 11
    70+ 2 8 0.109
Incidence period
    1988–91 4 8
    1992–7 21 17 0.321

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