Journal article

Stromal lymphocytes are associated with upgrade of B3 breast lesions

T Kader, E Provenzano, MW Jayawardana, S Hendry, JM Pang, K Elder, DJ Byrne, L Tjoeka, HML Frazer, E House, SI Jayasinghe, H Keane, A Murugasu, N Rajan, IM Miligy, M Toss, AR Green, EA Rakha, SB Fox, GB Mann Show all

Breast Cancer Research | BMC | Published : 2024

Abstract

Various histopathological, clinical and imaging parameters have been evaluated to identify a subset of women diagnosed with lesions with uncertain malignant potential (B3 or BIRADS 3/4A lesions) who could safely be observed rather than being treated with surgical excision, with little impact on clinical practice. The primary reason for surgery is to rule out an upgrade to either ductal carcinoma in situ or invasive breast cancer, which occurs in up to 30% of patients. We hypothesised that the stromal immune microenvironment could indicate the presence of carcinoma associated with a ductal B3 lesion and that this could be detected in biopsies by counting lymphocytes as a predictive biomarker ..

View full abstract