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J Clin Pathol 61:570-576 doi:10.1136/jcp.2007.046649
  • Review

Bone marrow micrometastasis in breast cancer: review of detection methods, prognostic impact and biological issues

Table 1 Major clinical studies of the prognostic value of disseminated tumour cells (DTC) detection in bone marrow (BM) by immunocytochemistry and prognostic value on disease and overall survival (univariate and multivariate analysis)
Reference Sampling Marker No. patients Detection rate (%) Follow-up (mth) Disease free survival Overall survival
Univ Multiv Univ Multiv
Redding 198379 Smear MUC 110 28 NA NA NA NA
Manegold 198880 Biopsy CK/PKK1 50 8 NA NA NA NA
Smear
Landys 199881 Biopsy CK/AE1–AE3, KL1, CAM 5-2 128 19 240 NA NA Yes NA
Salvadori 199082 Biopsy CK/MBr1 121 16.5 48 No No NA NA
Mathieu 199083 Biopsy MUC/EMA, HMFG2 93 1 No No No No
CK/KL1, AE1–AE3, CAM5-2
Kirk 199084 Smear MUC/anti-milk fat globulin LICR.LON.M8.4 25 48 34 No NA NA NA
Singletary 199185 Smear CK/AE1, AE3, MAK-6 71 38 11 No No No No
MUC/113F1, 260F9, 317G5
Cote 199186 Smear MUC/C26, T16 49 36.7 30 Yes Yes NA Na
CK/AE-1
Schlimok 199287 Cytospin CK18/CK2 187 18 39 Yes Yes NA NA
Harbeck 199488 Smear CK 100 38 34 Yes Yes No Yes
MUC/EMA
Ménard 199489 Cytospin CK/MBr1, MBr8, CK18/CK2, MUC1 197 31 NA NA NA NA NA
Molino 199790 Cytospin CK/MBr1, MBr8, MOV8, MOV16 MluC1 109 31 36 No No No No
Funke 199691 Cytospin CK18/CK2 234 38 NA NA NA NA NA
Diel 199692 93 Smear MUC/TAG12 (2E11) 727 43.3 78 Yes Yes Yes Yes
Mansi 199912 94 Smear EMA 350 25.4 150 Yes No Yes No
Lyda 200095 Biopsy CK/AE1–AE3, 35βH11 CAM 5-2 54 31 38 Yes NA NA NA
Untch 199996 Cytospin CK18/CK2 581 28 No No No No
Braun 200011 Cytospin CK/CK8,18,19 (A45 B/B3) 552 36 36 Yes Yes Yes Yes
Gerber 200120 Cytospin CK/CK8,18,19 (5D3) 554 37 54 Yes Yes Yes Yes
Gebauer200121 Smear CK, MUC/EMA 396 42 75 Yes Yes Yes Yes
Kasimir-Bauer 200197 Cytospin CK/CK8,18,19 (A45 B/B3) 128 34 24 NA NA NA NA
Naume 20045 Cytospin CK/AE1/AE3 819 13 49 Yes Yes Yes Yes
Braun 20051 Various Various 4703 30.6 63 Yes Yes Yes Yes
Bidard 20078 Cytospin CK/CK8,18,19 (A45 B/B3) 621 15 50 Yes Yes Yes Yes
  • CK, cytokeratin; Muc, mucin; EMA, epithelial membrane antigen; NA, not available.

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