Difference between revisions of "Invasive breast cancer"

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=Staging breast cancer=
=Staging breast cancer=
Definitions:<ref>URL: [http://www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast-cancer-staging http://www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast-cancer-staging]. Accessed on: 8 July 2010.</ref>
==N stage==
*Isolated tumour cells: <=0.2 mm ''and'' <200 cells.
Definitions:<ref name=acs_website>URL: [http://www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast-cancer-staging http://www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast-cancer-staging]. Accessed on: 8 July 2010.</ref>
*Micrometastasis: <=0.2 cm ''and'' ( >0.2 mm ''or'' >=200 cells ).
*Isolated tumour cells: <=0.2 mm ''or'' <=200 cells -- in a single cross-section.
*Micrometastasis: <=0.2 cm ''and'' ( >0.2 mm ''or'' >200 cells ).
*Macrometastasis: >0.2 cm.


Tumour:<ref>URL: [http://www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast-cancer-staging http://www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast-cancer-staging]. Accessed on: 8 July 2010.</ref><ref>URL: [http://www.cancerhelp.org.uk/type/breast-cancer/treatment/tnm-breast-cancer-staging http://www.cancerhelp.org.uk/type/breast-cancer/treatment/tnm-breast-cancer-staging]. Accessed on: 9 July 2010.</ref>
Note:
*pT1: <= 2 cm.
* † The ''American Cancer Society'' web site says "or".<ref name=acs_website/> The CAP protocol says "and/or" and notes it is all subjective.
**pT1mic <= 0.1 cm.
**pT1a > 0.1 cm ''and'' <= 0.5 cm.
**pT1b > 0.5 cm ''and'' <= 1.0 cm.
**pT1c > 1.0 cm ''and'' <= 2.0 cm.
*pT2: > 2 cm and <= 5 cm
*pT3: > 5 cm.
*pT4: chest wall or skin involvement.


Lymph nodes:<ref>URL: [http://www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast-cancer-staging http://www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast-cancer-staging]. Accessed on: 8 July 2010.</ref>
Lymph nodes:<ref>URL: [http://www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast-cancer-staging http://www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast-cancer-staging]. Accessed on: 8 July 2010.</ref>
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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.
==T stage==
Tumour:<ref>URL: [http://www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast-cancer-staging http://www.cancer.org/Cancer/BreastCancer/DetailedGuide/breast-cancer-staging]. Accessed on: 8 July 2010.</ref><ref>URL: [http://www.cancerhelp.org.uk/type/breast-cancer/treatment/tnm-breast-cancer-staging http://www.cancerhelp.org.uk/type/breast-cancer/treatment/tnm-breast-cancer-staging]. Accessed on: 9 July 2010.</ref>
*pT1: <= 2 cm.
**pT1mic <= 0.1 cm.
**pT1a > 0.1 cm ''and'' <= 0.5 cm.
**pT1b > 0.5 cm ''and'' <= 1.0 cm.
**pT1c > 1.0 cm ''and'' <= 2.0 cm.
*pT2: > 2 cm and <= 5 cm
*pT3: > 5 cm.
*pT4: chest wall or skin involvement.
==M stage==
Distant metastasis:
*cM0(i+) <=0.2 mm focus of tumour cells, without clinical signs and symptoms.
*pM1 focus of tumour cells > 0.2 mm.


=Lymphovascular invasion=
=Lymphovascular invasion=
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