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Title:
The prognostic value of proliferation indices: a study with in vivo bromodeoxyuridine and Ki-67 | Breast Cancer Research and Treatment
Description:
Proliferation indices are intended to help patients and clinicians make treatment decisions. We have previously demonstrated that a proliferation index based on in vivo labeling of S-phase cells with bromodeoxyuridine (BrdUrd) correlates with Ki-67 labeling index (LI). We now compare the prognostic value of these indices. With written consent, we gave 129 women with biopsy confirmed breast cancer 200βmg/M2 BrdUrd during 30βmin immediately preceding surgery. We used IU-4 anti BrdUrd antibody to count the immunohistochemical labeling index (LI) of DNA-incorporated BrdUrd in 2,000 cells and MIB-1 to count Ki-67 (118 cases). Patients received standard surgical and adjuvant treatment. No patients were lost to follow-up and patients were followed a minimum of 2 (median 5.1) years. We compared survival and recurrence in tumors with high vs low labeling indices. We found that women in the low BrdUrd LI group had better disease free survival (92% vs 67% 5-yr DFS pβ=β0.001) and overall survival (94% vs 70% 5-yr OS, pβ=β0.0001) than those with a high LI. In comparison, a low Ki-67 index predicted better OS (87% vs 80% 5-yr OS, pβ=β0.020) and a trend for better DFS (84% vs 72% DFS pβ=β0.055). The apparent superiority of BrdUrd LI over Ki-67 LI is likely due to chance (pβ=β0.18). In multivariate survival analyses we found that BrdUrd LI proliferative index significantly improves prediction of DFS or OS even when node status, age or tumor size is in the model. We conclude that markers of proliferation are useful adjuncts in predicting patient prognosis.
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Keywords {π}
cancer, breast, google, scholar, prognostic, proliferation, bromodeoxyuridine, labeling, index, human, article, vivo, cell, res, indices, moore, patients, sphase, brdurd, treat, clin, oncol, california, research, study, ljung, smith, dna, fraction, content, goodson, iii, chew, waldman, survival, comparison, tumor, growth, flow, usa, privacy, cookies, markers, access, cancers, kinetics, publish, search, treatment, mayall,
Topics {βοΈ}
disease free survival clinically negative lymph-nodes month download article/chapter cytofluorimetric s-phase fraction britt-marie ljung flow cytometric s-phase sentinel-node biopsy multivariate survival analyses predicting patient prognosis long-term prognosis privacy choices/manage cookies related subjects goodson wh iii primary breast cancers predictive factor operable breast cancer s-phase fraction s-phase cells human breast cancers primary breast carcinomas mammary carcinomas labeled cmf versus caf full article pdf low labeling indices nodenegative breast cancer human breast cancer invasive breast cancer breast cancer evaluated female breast cancer proliferation index based immunohistochemical labeling index g2-phase cells ten velde gpm ki-67 proliferation index ki-67 labeling index dna-incorporated brdurd tumor markers human ovarian cancer human bladder cancer bromodeoxyuridine labeling index tumor cell proliferation european economic area short-term recurrences avoid axillary dissection moore dh ii moore hd ii vitro bromodeoxyuridine labeling conditions privacy policy monoclonal antibody ki-67 3h thymidine labeling
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headline:The prognostic value of proliferation indices: a study with in vivo bromodeoxyuridine and Ki-67
description:Proliferation indices are intended to help patients and clinicians make treatment decisions. We have previously demonstrated that a proliferation index based on in vivo labeling of S-phase cells with bromodeoxyuridine (BrdUrd) correlates with Ki-67 labeling index (LI). We now compare the prognostic value of these indices. With written consent, we gave 129 women with biopsy confirmed breast cancer 200βmg/M2 BrdUrd during 30βmin immediately preceding surgery. We used IU-4 anti BrdUrd antibody to count the immunohistochemical labeling index (LI) of DNA-incorporated BrdUrd in 2,000 cells and MIB-1 to count Ki-67 (118 cases). Patients received standard surgical and adjuvant treatment. No patients were lost to follow-up and patients were followed a minimum of 2 (median 5.1) years. We compared survival and recurrence in tumors with high vs low labeling indices. We found that women in the low BrdUrd LI group had better disease free survival (92% vs 67% 5-yr DFS pβ=β0.001) and overall survival (94% vs 70% 5-yr OS, pβ=β0.0001) than those with a high LI. In comparison, a low Ki-67 index predicted better OS (87% vs 80% 5-yr OS, pβ=β0.020) and a trend for better DFS (84% vs 72% DFS pβ=β0.055). The apparent superiority of BrdUrd LI over Ki-67 LI is likely due to chance (pβ=β0.18). In multivariate survival analyses we found that BrdUrd LI proliferative index significantly improves prediction of DFS or OS even when node status, age or tumor size is in the model. We conclude that markers of proliferation are useful adjuncts in predicting patient prognosis.
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headline:The prognostic value of proliferation indices: a study with in vivo bromodeoxyuridine and Ki-67
description:Proliferation indices are intended to help patients and clinicians make treatment decisions. We have previously demonstrated that a proliferation index based on in vivo labeling of S-phase cells with bromodeoxyuridine (BrdUrd) correlates with Ki-67 labeling index (LI). We now compare the prognostic value of these indices. With written consent, we gave 129 women with biopsy confirmed breast cancer 200βmg/M2 BrdUrd during 30βmin immediately preceding surgery. We used IU-4 anti BrdUrd antibody to count the immunohistochemical labeling index (LI) of DNA-incorporated BrdUrd in 2,000 cells and MIB-1 to count Ki-67 (118 cases). Patients received standard surgical and adjuvant treatment. No patients were lost to follow-up and patients were followed a minimum of 2 (median 5.1) years. We compared survival and recurrence in tumors with high vs low labeling indices. We found that women in the low BrdUrd LI group had better disease free survival (92% vs 67% 5-yr DFS pβ=β0.001) and overall survival (94% vs 70% 5-yr OS, pβ=β0.0001) than those with a high LI. In comparison, a low Ki-67 index predicted better OS (87% vs 80% 5-yr OS, pβ=β0.020) and a trend for better DFS (84% vs 72% DFS pβ=β0.055). The apparent superiority of BrdUrd LI over Ki-67 LI is likely due to chance (pβ=β0.18). In multivariate survival analyses we found that BrdUrd LI proliferative index significantly improves prediction of DFS or OS even when node status, age or tumor size is in the model. We conclude that markers of proliferation are useful adjuncts in predicting patient prognosis.
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bromodeoxyuridine
Ki-67
nodes
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