Impaired bone microenvironment: correlation between bone density and presence of disseminated tumor cells.

Abstract:

BACKGROUND:Disseminated tumor cells (DTCs) in bone marrow (BM) occur in 30-40% of primary breast cancer patients. An impaired bone microenvironment may lead to reduced bone density and osteoporosis affecting the BM as a homing site for DTCs. The bone mineral density (BMD) and its correlation to DTC in BM was evaluated. MATERIALS AND METHODS:One hundred and eighty-one women (70 premenopausal, 111 postmenopausal) underwent quantitative ultrasonometry before adjuvant chemotherapy. BM aspirates were analyzed by immunocytochemistry using the ACIS system (Chromavision) based on immunostaining. RESULTS:DTCs were detected in 39% of the patients. Positive BM status correlated significantly with the nodal status. BMD was significantly reduced in the postmenopausal patients (p=0.003). Smaller tumors and higher BMD correlated significantly (p<0.014). Fifty percent of the patients with preclinical osteoporosis were BM positive, whereas 37% with normal or osteopenic BMD had DTCs. CONCLUSION:An impaired bone micro-environment as found in preclinical osteoporosis might be a homing site for DTCs.

journal_name

Anticancer Res

journal_title

Anticancer research

authors

Kraemer B,Rothmund R,Banys M,Krawczyk N,Solomayer EF,Mack C,Wallwiener D,Fehm T

subject

Has Abstract

pub_date

2011-12-01 00:00:00

pages

4423-8

issue

12

eissn

0250-7005

issn

1791-7530

pii

31/12/4423

journal_volume

31

pub_type

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