Difference between revisions of "Invasive breast cancer"

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(→‎Staging breast cancer: +LVI criteria)
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*pN2 4-9 positive LNs; internal mammary LNs ''or'' axillary LNs.
*pN2 4-9 positive LNs; internal mammary LNs ''or'' axillary LNs.
*pN3.
*pN3.
==Lymphovascular invasion==
There are famous criteria for lymphovascular invasion (LVI).
Rosen criteria for LVI:<ref name=pmid6674861>{{Cite journal  | last1 = Rosen | first1 = PP. | title = Tumor emboli in intramammary lymphatics in breast carcinoma: pathologic criteria for diagnosis and clinical significance. | journal = Pathol Annu | volume = 18 Pt 2 | issue =  | pages = 215-32 | month =  | year = 1983 | doi =  | PMID = 6674861 }}</ref><ref>URL: [http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2009/InvasiveBreast_09protocol.pdf http://www.cap.org/apps/docs/committees/cancer/cancer_protocols/2009/InvasiveBreast_09protocol.pdf]. Accessed on: 5 August 2011.</ref>
#Must be outside of the tumour proper.
#*LVI is usually very close -- typically within 0.1 cm.
#Contour of cells should differ from possible vessel wall.
#*DCIS with retraction artifact mimicing LVI has a contour that matches its surrounding fibrous tissue.
#Endothelium (usu. flat) should be visible.
#Lymphatics are found adjacent to [[blood vessels]] - vessels should be present in the near vicinity.


=Other=
=Other=