Research Article

Identification of Risk Factors Associated with Axillary Lymph Node Metastasis for Sentinel Lymph Node-Positive Breast Cancer Patients

Table 3

The relationship between clinicopathological characteristics and N2 disease.

Clinicopathological characteristicsTotalAxillary status n (%)Χ2
(n = 566)N1 diseaseN2 disease
(%)n = 465 (82.2)n = 101 (17.8)

Age0.4120.521
<50320 (56.5)260 (81.2)60 (18.8)
≥50246 (43.5)205 (83.3)41 (16.7)

Pathologic tumor size1.9060.167
T1 ≤2 cm293 (51.8)247 (84.3)46 (15.7)
T2 ≤5 cm273 (48.2)218 (79.9)55 (20.1)

Tumor type0.4720.821
Ductal530 (93.6)435 (82.1)95 (17.9)
Lobular11 (1.9)10 (90.9)1 (9.1)
Other25 (4.4)20 (80.0)5 (20.0)

Nuclear grade3.2510.197
I24 (4.2)21 (87.5)3 (12.5)
II256 (45.2)214 (83.6)42 (16.4)
III250 (44.2)195 (78.0)55 (22.0)
N/A36 (6.4)35 (97.2)1 (2.8)

LVI5.6780.017
Present237 (41.9)184 (77.6)53 (22.4)
Absent329 (58.1)281 (85.4)48 (14.6)

Multifocality0.1600.689
Multifocal/yes78 (13.8)64 (82.1)14 (17.9)
Unifocal/no471 (83.2)395 (83.9)76 (16.1)
N/A17 (3.0)6 (35.3)11 (64.7)

Surgery1.3480.246
Conservative293 (51.8)246 (84.0)47 (16.0)
Mastectomy273 (48.2)219 (80.2)54 (19.8)

ER receptor status1.0350.309
Positive507 (89.6)419 (82.6)88 (17.4)
Negative57 (10.1)44 (77.2)13 (22.8)
N/A2 (0.4)2 (100)0 (0)

PR receptor status0.0550.814
Positive457 (80.7)376 (82.3)81 (17.7)
Negative107 (18.9)87 (81.3)20 (18.7)
N/A2 (0.4)2 (100)0 (0)

HER27.4250.006
Positive117 (20.7)86 (73.5)31 (26.5)
Negative406 (71.7)343 (84.5)63 (15.5)
N/A43 (7.6)36 (83.7)7 (16.3)

Ki-67 status0.6870.407
<14%82 (14.5)71 (86.6)11 (13.4)
≥14%450 (79.5)373 (82.9)77 (17.1)
N/A34 (6.0)21 (61.8)13 (38.2)

Number of positive SLNs42.388<0.001
1420 (74.2)371 (88.3)49 (11.7)
2146 (25.8)94 (64.4)52 (35.6)

SLN metastasis ratio20.723<0.001
<50%238 (42.0)216 (90.8)22 (9.2)
≥50%328 (58.0)249 (75.9)79 (24.1)

Size of SLN metastasis2.6630.138
Micrometastasis12 (2.1)12 (100.0)0 (0)
Macrometastasis554 (97.9)453 (81.8)101 (18.2)

IHC-based subtype9.1890.050
Luminal A62 (11.0)54 (87.1)8 (12.9)
Luminal/HER2(−)300 (53)252 (84)48 (16)
Luminal/HER2(+)91(16)69 (75.8)22(24.2)
HER2(+)22 (3.9)14 (63.6)8 (36.4)
Triple-negative19 (3.4)17 (89.5)2 (10.5)
N/A72 (12.7)59 (81.9)13 (18.1)

SLN, sentinel lymph node; LVI, lymphovascular invasion; ER, estrogen receptor; PR, progesterone receptor; HER2, human epidermal growth factor receptor 2; IHC, immunohistochemistry.