Literature DB >> 9040864

Detection of breast cancer at a smaller size can reduce the likelihood of metastatic spread: a quantitative analysis.

R Sivaramakrishna1, R Gordon.   

Abstract

RATIONALE AND
OBJECTIVES: The authors extrapolated the lognormal relationship between size of tumor and probability of metastasis to include small tumors.
METHODS: Extrapolation was performed by using linear weighted regression analysis techniques to estimate prediction intervals for the predicted probabilities.
RESULTS: Tumors detected at 1 cm in diameter had a 7.31% probability of metastasis (95% prediction interval [PI], 4.36% to 11.6%). Tumors detected at 5 mm in diameter had a 1.23% probability of metastasis (95% PI, 0.45% to 3.0%). Tumors detected at 2 mm had a 0.049% probability of metastasis (95% PI, 0.00705% to 0.267%).
CONCLUSION: This analysis shows a major reduction in metastasis probability when tumors are detected at small sizes. These results suggest that detection of very early tumors can substantially reduce the likelihood of metastatic spread.

Entities:  

Mesh:

Year:  1997        PMID: 9040864     DOI: 10.1016/s1076-6332(97)80154-7

Source DB:  PubMed          Journal:  Acad Radiol        ISSN: 1076-6332            Impact factor:   3.173


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