Clinical Significance of Van Nuys Prognostic Index As A Qualification Criterion to Sentinel Lymph Node Biopsy in Patients Diagnosed with Ductal Carcinoma in Situ

• Authors: Tomasz Nowikiewicz , Magdalena Wiśniewska , Michał Wiśniewski , Wojciech Zegarski
• Languages of publication: EN

Abstracts

EN

Diagnose of ductal carcinoma in situ (DCIS) requires, at least in a part of cases, assessment of auxiliary lymph nodes.The aim of the study was to analyze clinical value of Van Nuys Prognostic Index (VNPI) as the important criterion for qualification of DCIS patients to sentinel lymph node biopsy (SLNB).Material and methods. Analysis included patients diagnosed with DCIS and qualified to SLNB, operated in years 2004-2013. We performed a statistical analysis to assess correlation between VNPI value and positive pathological verification of excised sentinel lymph node (SLN). The influence of other clinical factors on presence of metastases in SLN was also determined.Results. 3,6% of DCIS patients were diagnosed with metastases in SLN. Metastases were diagnosed in 6.7% patients with VNPI > 10 points vs 3.4% in patients with VNPI < 10 points. In 75% of patients with metastatic SLN the value of VNPI was at least 10 points.In premenopausal patients metastases in SLN were diagnosed in 8.1% of cases vs 1.4% in postmenopausal patients. In patients diagnosed with cancer of the other breast metastases in SLN were found in 6.3% of cases vs 3.2% in one-sided cancer. Patients with multifocal cancer were over twice as often diagnosed with metastases in SLN (5% vs 2%). There was no correlation found between VNPI value and positive pathological verification of SLN. No differences between prevalence of SLN metastases depending on selected clinical features were found.Conclusions. Recommendation of VNPI as the criterion of qualification to SLNB starting with 10 points could be more favourable in patients with DCIS. Deciding on SLNB in DCIS patients, we should also take into consideration other clinical features.

Keywords

EN

breast cancer; ductal carcinoma in situ; sentinel lymph node biosy; Van Nuys Prognostic Index; surgical treatment

• Publisher: De Gruyter Open
• Journal: Polish Journal of Surgery
• Year: 2015
• Volume: 86
• Issue: 10
• Pages: 479-485

Dates

online

3 - 2 - 2015

received

6 - 8 - 2014

Contributors

author

Tomasz Nowikiewicz

• Department of Breast Cancer and Reconstructive Surgery, Oncology Center in Bydgoszcz Koordynator: dr n. med.

author

Magdalena Wiśniewska

• Department of Clinical Oncology, Oncology Center in Bydgoszcz Koordynator: dr n. med.

author

Michał Wiśniewski

• Outpatient Chemotherapy Department, Oncology Center in Bydgoszcz Koordynator: dr n. med.

author

Wojciech Zegarski

• Surgical Oncology Clinic, Collegium Medicum Nicolaus Copernicus University, Oncology Center in Bydgoszcz Kierownik: prof. dr hab.

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Identifiers

DOI

10.2478/pjs-2014-0085