Grading of breast cancer on needle core biopsy: does a reduction in mitotic count threshold improve agreement with grade on excised specimens?

Abstract:

BACKGROUND:Accurate assessment of invasive breast cancer grade on needle core biopsy (NCB) is important as it guides treatment. AIM:To assess the agreement between grade of invasive cancer on NCB and excision and determine whether altering the mitotic count score threshold on NCB improves it. METHODS:Pathology slides from patients with an NCB diagnosis of invasive breast cancer who underwent subsequent breast conservation surgery in 2012 were reviewed. Mitotic counts were assessed and tumour grade agreement between NCB and excision evaluated. The mitotic count thresholds were altered and grade agreement was reassessed. RESULTS:In 283/359 (79%) cases, there was concurrence on histological grade between NCB and excision. Reduction in mitotic count thresholds did not improve either overall tumour grade agreement or agreement within any subgroup of patients. CONCLUSIONS:In our experience, the current mitotic count score thresholds are appropriate and should be maintained.

journal_name

J Clin Pathol

authors

Dhaliwal CA,Graham C,Loane J

doi

10.1136/jclinpath-2014-202294

subject

Has Abstract

pub_date

2014-12-01 00:00:00

pages

1106-8

issue

12

eissn

0021-9746

issn

1472-4146

pii

jclinpath-2014-202294

journal_volume

67

pub_type

杂志文章
  • Expression of the immunoproteasome subunit β5i in non-small cell lung carcinomas.

    abstract:AIM:The immunoproteasome is a specific proteasome isoform whose proteolytic activity enhances the generation of antigenic peptides to be presented by major histocompatibility complex class I molecules to CD8+ T cells. Physiologically, it is expressed abundantly in immune cells and is induced in somatic cells by cytokin...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jclinpath-2020-206618

    authors: Kiuchi T,Tomaru U,Ishizu A,Imagawa M,Iwasaki S,Suzuki A,Otsuka N,Ohhara Y,Kinoshita I,Matsuno Y,Dosaka-Akita H,Kasahara M

    更新日期:2020-09-17 00:00:00

  • Oxyphil cells in thyroid disease: a uniform change?

    abstract::Neoplastic and non-neoplastic oxyphil cells in thyroid disorders were investigated for enzyme and synthetic activity, ultrastructural features, and immune complex deposition. A reduced but definite content of thyroglobuliin and similar enzyme profiles and ultrastructural features in all types of oxyphill change were f...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.39.8.908

    authors: Kendall CH,McCluskey E,Meagles JN

    更新日期:1986-08-01 00:00:00

  • Endotoxin detection in end-stage kidney disease.

    abstract:AIMS:Endotoxin detection assays are not validated for use in end-stage kidney disease (ESKD). We investigated the accuracy and precision of the kinetic turbidimetric Limulus amoebocyte lysate (LAL) assay to detect endotoxin in plasma from patients with ESKD. Optimisation of endotoxin recovery from plasma using the dete...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jclinpath-2014-202622

    authors: Wong J,Jeraj H,Vilar E,Viljoen A,Farrington K

    更新日期:2015-01-01 00:00:00

  • Principal neuropathological and general necropsy findings in 24 renal transplant patients.

    abstract::The principal neuropathological and general pathological findings in a group of 24 patients with renal transplants who died in a nine-year period at the Western Infirmary, Glasgow, are described. Opportunistic infections--bacterial, protozoal, and fungal--were the commonest causes of death. Other causes included cardi...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.35.1.31

    authors: Morton R,Graham DI,Briggs JD,Hamilton DN

    更新日期:1982-01-01 00:00:00

  • Immunocytological analysis of the Tn associated antigen 83D4 in serous effusions from patients with cancer: comparison with Tn soluble glycoprotein.

    abstract:AIMS:To determine whether the monoclonal antibody (MoAb) 83D4, previously shown to be highly specific for carcinoma cells, can be used as an immunocytological marker to discriminate between benign and malignant cells in serous effusions; and to test for a correlation between expression of the antigen reacting with MoAb...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.48.5.433

    authors: Beuzelin-Yvraut M,Bourguignat A,Phillips E,Roseto A,Osinaga E

    更新日期:1995-05-01 00:00:00

  • A report on experience with an automatic blood counting machine.

    abstract::Experience after 18 months' work with the SMA-4 system of multiple analysis for routine haematology is described, as well as the modifications to the machine which have been made for smoother operation. ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.22.1.19

    authors: Green AE,Middleton VL,Prentis KG,Signy AG

    更新日期:1969-01-01 00:00:00

  • A comparison of the performance of cystine lactose electrolyte deficient (CLED) agar with Oxoid chromogenic urinary tract infection (CUTI) medium for the isolation and presumptive identification of organisms from urine.

    abstract:AIMS:As part of the UK antimicrobial resistance strategy and action plan, the Public Health Laboratory Service (PHLS) is required to collect antibiotic susceptibility data so that resistance trends and patterns can be monitored. Most laboratories report urine Gram negative isolates, as "coliforms" according to morpholo...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.55.7.524

    authors: Fallon D,Andrews N,Frodsham D,Gee B,Howe S,Iliffe A,Nye KJ,Warren RE

    更新日期:2002-07-01 00:00:00

  • Quantitative assessment of histological changes in chronic gastritis after eradication of Helicobacter pylori.

    abstract:AIMS:To evaluate the effect of 10 day triple treatment on H pylori eradication and associated gastritis. METHODS:Fifty patients with H pylori positive non-ulcer dyspepsia were treated for 10 days with amoxicillin, tinidazole, and bismuth salts. Histological examination of the antral mucosa was performed before (T0), s...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.45.9.796

    authors: Di Napoli A,Petrino R,Boero M,Bellis D,Chiandussi L

    更新日期:1992-09-01 00:00:00

  • Factors predicting cases with unexpected clinical findings at necropsy.

    abstract:AIMS/BACKGROUND:A major medical role for postmortem examinations is the detection of clinically unexpected disease processes contributing to death. The aim of the present study was to determine whether simple clinical parameters can predict the presence of important unanticipated findings at necropsy. METHODS:Prospect...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.49.11.909

    authors: Robinson IA,Marley NJ

    更新日期:1996-11-01 00:00:00

  • Genomic aberrations and immunohistochemical markers as prognostic indicators in multiple myeloma.

    abstract::As patients with multiple myeloma (MM) have a variable clinical course, predictive markers would help determine the appropriate treatment strategy. Clinical staging is commonly used to predict outcome, but tumour marker expression and the underlying genetic changes are increasingly used to assess the biological aggres...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章,评审

    doi:10.1136/jcp.2007.049585

    authors: Yeung J,Chang H

    更新日期:2008-07-01 00:00:00

  • Fundamental study on the mechanism of DNA degradation in tissues fixed in formaldehyde.

    abstract::The mechanism of DNA degradation and its clinical applications were examined. When purified lambda phage and extracted liver DNA were fixed in phosphate buffered formaldehyde, the DNA did not degrade, but there was incomplete digestion with endonuclease. Rat liver tissues were fixed under various conditions and DNA ex...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.43.9.748

    authors: Tokuda Y,Nakamura T,Satonaka K,Maeda S,Doi K,Baba S,Sugiyama T

    更新日期:1990-09-01 00:00:00

  • Hepatic fibrosis in a child possibly due to prolonged methotrexate.

    abstract::A case is described in which marked hepatic fibrosis probably resulted from the prolonged treatment of acute leukaemia with methotrexate. ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.19.1.81

    authors: Talerman A,Thompson RB

    更新日期:1966-01-01 00:00:00

  • Langerhans cells increase in the dermal lesions of adult T cell leukaemia in Japan.

    abstract::In cases of adult T cell leukaemia neoplastic T cell infiltration in the skin was accompanied by an increase in Langerhans cells. This is in keeping with the view that Langerhans cells may induce antigen-specific and allogenic T cell activation. ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.36.3.307

    authors: Shamoto M

    更新日期:1983-03-01 00:00:00

  • Growth hormone and malignancy.

    abstract::The finding of raised growth hormone concentrations in patients with secondary malignancy in the liver is reported. These concentrations were significantly higher than those found in patients with primary malignancy only or in those with non-hepatic secondaries. A wide range of malignancies was investigated and the hi...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.36.8.935

    authors: Andrews GS

    更新日期:1983-08-01 00:00:00

  • Isolated testicular vasculitis mimicking a testicular neoplasm.

    abstract::A 19 year old man presented with unilateral testicular swelling and pain. An initial diagnosis of epididymo-orchitis was modified to a presumed testicular neoplasm following ultrasonography. The final diagnosis of isolated testicular vasculitis was established following histological examination of the orchidectomy spe...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.47.12.1121

    authors: Warfield AT,Lee SJ,Phillips SM,Pall AA

    更新日期:1994-12-01 00:00:00

  • Twice weekly prophylactic therapy in haemophilia A.

    abstract::Factor VIII-containing materials were administered to four severely affected haemophiliacs twice weekly in doses calculated to raise the factor VIII level to either 15% or 30% of average normal. The pooled results from those patients with statistically similar baseline bleeding frequencies showed a significant reducti...

    journal_title:Journal of clinical pathology

    pub_type: 临床试验,杂志文章

    doi:10.1136/jcp.30.1.65

    authors: Aronstam A,Kirk PJ,McHardy J,Culver-James JW,McLellan DS,Turk P,Rainsford SG,Slattery M

    更新日期:1977-01-01 00:00:00

  • Urinary excretion kinetics of hydroxyethyl starch 350/0.60 in normovolaemic man.

    abstract::Rates of urinary excretion concomitant with the molecular size distribution of filtered polymer fragments were determined in five normovolaemic men dosed with 30 g/m2 BSA of a species of HES (HES 350/0.60) possessing a M-W of 350 000 combined with an MS of 0.60. Approximately 13% of the total injected dose of HES 350/...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.34.4.361

    authors: Mishler JM,Ricketts CR,Parkhouse EJ

    更新日期:1981-04-01 00:00:00

  • Modifications to CHROMagar Acinetobacter for improved selective growth of multi-drug resistant Acinetobacter baumannii.

    abstract::Performance of CHROMagar Acinetobacter was assessed for the selective isolation and identification of Acinetobacter baumannii. The medium was effective in suppressing the growth of other Gram-positive and Gram-negative species while the addition of KPC supplement ensured growth of only carbapenem resistant A baumannii...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.2010.083469

    authors: Wareham DW,Gordon NC

    更新日期:2011-02-01 00:00:00

  • Assessment of proliferative activity in leukaemic bone marrow using the monoclonal antibody Ki-67.

    abstract:AIMS:To investigate proliferative activity in leukaemic and lymphomatous bone marrow infiltrates and to assess the feasibility of transport of specimens among institutions. METHODS:Proliferative activity in bone marrow trephine cryosections from 99 patients with non-Hodgkin's lymphoma (NHL), 23 patients with acute mye...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.47.3.209

    authors: White DM,Smith AG,Smith JL

    更新日期:1994-03-01 00:00:00

  • Noise levels in a clinical chemistry laboratory.

    abstract::An investigation into the noise levels in a clinical chemistry laboratory has been carried out. It was shown that although the levels were insufficient to cause damage to hearing, they exceeded the criteria of acceptability for offices and workshops. ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.23.5.445

    authors: Griffiths PD,Kell RL,Taylor W

    更新日期:1970-07-01 00:00:00

  • Air bubbles and temperature effect on blood gas analysis.

    abstract::The effect of temperature, time of storage, and presence of air bubbles in specimens for blood gas analysis was studied. The results show that air bubbles in a 10% proportion are undesirable because of significant elevation in the PO2, and the storage of anaerobic blood samples at room temperature (25 degrees C) is ac...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.33.9.864

    authors: Madiedo G,Sciacca R,Hause L

    更新日期:1980-09-01 00:00:00

  • Caeruloplasmin as demonstrated by starch gel electrophoresis.

    abstract::Starch gel electrophoresis has demonstrated that graded concentrations of sodium sulphate do not precipitate the serum globulins in any reasonable degree of purity. The use of this form of electrophoresis has shown that caeruloplasmin is associated with a globulin in the Fa(2) position.This technique can be employed a...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.13.1.69

    authors: CUMINGS JN,EARL CJ

    更新日期:1960-01-01 00:00:00

  • Multiple microcarcinoids in a patient with long standing ulcerative colitis.

    abstract::A male patient with a 17 year history of intractable ulcerative colitis of the entire type was treated by total proctocolectomy. Colonoscopy before surgery did not identify dysplasia. Histological examination of the resected colorectum revealed that, in addition to chronic inflammatory infiltrates, there were 21 areas...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.56.12.963

    authors: Matsumoto T,Jo Y,Mibu R,Hirahashi M,Yao T,Iida M

    更新日期:2003-12-01 00:00:00

  • Acquired immunodeficiency syndrome in a patient with no known risk factors: a pathological study.

    abstract::We present the pathological findings in a case of acquired immunodeficiency syndrome (AIDS) in a patient with no known risk factor. Postmortem examination showed klebsiella lung abscess, generalised cytomegalovirus infection, cerebral toxoplasmosis, and a primary cerebral lymphoma. An additional feature was the presen...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.37.4.471

    authors: Burt AD,Scott G,Shiach CR,Isles CG

    更新日期:1984-04-01 00:00:00

  • Antithrombin activities in childhood malnutrition.

    abstract::Antithrombin activities in 30 severely malnourished children and 40 normal children were estimated in clotting tests by thrombin neutralisation as anti-Xa and by a heparin antithrombin assay; and by immunodiffusion as alpha 2-globulin and alpha 1-antitrypsin. The patients' mean alpha 2-globulin was severely depressed,...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.32.10.1025

    authors: Jiménez RA,Jiménez E,Ingram GI,Mora LA,Atmetlla F,Carrillo JM,Vargas W

    更新日期:1979-10-01 00:00:00

  • Immunohistochemical demonstration of neurone specific enolase in bone marrow infiltrated by neuroblastoma.

    abstract::One hundred and two bone marrow samples were analysed by histological and immunohistochemical methods for neurone specific enolase (NSE). The biopsies were performed to determine the extent of bone marrow disease in 84 neuroblastomas, nine embryonal rhabdomyosarcomas, five Ewing's sarcomas, two cases of Hodgkin's dise...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.44.4.309

    authors: Caillaud JM,Martinez-Madrigal F,Hartmann O,Carlu C

    更新日期:1991-04-01 00:00:00

  • Lectin typing of Campylobacter isolates.

    abstract::Isolates of Campylobacter jejuni, C coli, C fetus and C laridis were tested for agglutination reactions with a panel of five lectins: Arachis hypogaea, Bauhinia purpurea, Solanum tuberosum, Triticum vulgaris and Wisteria floribunda. Twenty three patterns of agglutination (lectin types) were recorded among 376 isolates...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.43.11.957

    authors: O'Sullivan N,Benjamin J,Skirrow MB

    更新日期:1990-11-01 00:00:00

  • Does the width of the surgical margin of safety or premalignant dermatoses at the negative surgical margin affect outcome in surgically treated penile cancer?

    abstract:AIMS:To evaluate the prognostic impact of the width of negative surgical margins (NSM) and associated and preinvasive lesions at the NSM in patients with penile squamous cell cancer (PSC). METHODS:Enrolling 87 patients with NSM who underwent surgery for PSC, the archived margin slides and entirely wax-embedded surgica...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章,多中心研究

    doi:10.1136/jclinpath-2013-201911

    authors: Gunia S,Koch S,Jain A,May M

    更新日期:2014-03-01 00:00:00

  • The expression of arginase-1, keratin (K) 8 and K18 in combined hepatocellular-cholangiocarcinoma, subtypes with stem-cell features, intermediate-cell type.

    abstract:AIMS:The WHO classification describes that combined hepatocellular-cholangiocarcinoma, subtypes with stem-cell features, intermediate-cell subtype (CHC-INT) is composed of tumour cells with features intermediate between hepatocytes and cholangiocytes. However, we previously reported that CHC-INT showed a high positive ...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jclinpath-2015-203491

    authors: Akiba J,Nakashima O,Hattori S,Naito Y,Kusano H,Kondo R,Nakayama M,Tanikawa K,Todoroki K,Umeno Y,Nakamura K,Sanada S,Yamaguchi R,Ogasawara S,Yano H

    更新日期:2016-10-01 00:00:00

  • Classical complement activation induced by pregnancy: implications for management of connective tissue diseases.

    abstract:AIMS:To determine the effect of pregnancy on C4d concentrations and to assess whether C4d remains a useful disease activity marker in the management of connective tissue diseases during pregnancy. METHODS:Plasma C3, C4, and C4d concentrations were measured in 83 women at various stages of normal pregnancy and compared...

    journal_title:Journal of clinical pathology

    pub_type: 杂志文章

    doi:10.1136/jcp.45.1.66

    authors: Hopkinson ND,Powell RJ

    更新日期:1992-01-01 00:00:00