Id |
Subject |
Object |
Predicate |
Lexical cue |
T1 |
0-63 |
DRI_Background |
denotes |
'Revertant' DCIS in human axillary breast carcinoma metastases. |
T2 |
64-379 |
DRI_Background |
denotes |
Recent experimental evidence obtained in Scid mice has suggested that the metastatic process is in large part epigenetically regulated and undergoes partial reversion once the metastatic process is completed: the metastatic colonies become more engaged in the process of growing in situ than actively metastasizing. |
T3 |
380-531 |
DRI_Background |
denotes |
Based on this experimental evidence, examples were sought of metastatic human cancers where similar reversion to an in situ growth state was occurring. |
T4 |
532-717 |
DRI_Background |
denotes |
Review of 200 cases of metastatic human breast cancer revealed a 21 per cent incidence of reversion to a ductal carcinoma in situ (DCIS) growth pattern within axillary nodal metastases. |
T5 |
718-893 |
DRI_Background |
denotes |
The revertant DCIS areas were characterized by an intact and circumferential basement membrane, as demonstrated by extracellular laminin and type IV collagen immunoreactivity. |
T6 |
894-1136 |
DRI_Background |
denotes |
These revertant DCIS areas could be distinguished from primary DCIS, however, by the absence of surrounding myoepithelial cells in the former, identified in the latter by their positive maspin, S-100, and smooth muscle actin immunoreactivity. |
T7 |
1137-1370 |
DRI_Outcome |
denotes |
The pattern of revertant DCIS, poorly differentiated (comedo) (13 per cent), intermediate (non-comedo) (6 per cent), or well-differentiated (non-comedo) (2%), exhibited complete 100 per cent concordance with the primary DCIS pattern. |
T8 |
1371-1539 |
DRI_Challenge |
denotes |
The concordance of histological patterns held true for even the subtypes of DCIS determined by architectural pattern, such as the micropapillary or cribriform subtypes. |
T9 |
1540-1709 |
DRI_Background |
denotes |
Nuclear size by digital image analysis and Her-2/neu, p53, and Ki-67 status in the revertant DCIS also exhibited complete concordance with the primary DCIS counterparts. |
T10 |
1710-2102 |
DRI_Outcome |
denotes |
Cases exhibiting a revertant DCIS pattern tended to be ER-negative/EGFR-positive and exhibited significant nodal involvement (mean number, 9; mean area, 90 per cent) compared with cases lacking a revertant pattern (mean number, 4; mean area, 15 per cent) (P < 0.01) These findings suggest that reversion of the metastatic phenotype may also be occurring within autochthonous human metastasis. |