HUBUNGAN ANTARA TUMOR ASSOCIATED MACROPHAGES (TAMs) DENGAN INVASI TUMOR LIMFOVASKULAR PADA KARSINOMA PAYUDARA

Background : Invasive ductal carcinoma (NOS) is the most common histological type of breast carcinoma. The most important factor in determining prognostic of breast carcinoma is lymphnode metastasis which is initiated with tumor lymph vessel invasion. In carcinoma, inflammatory cell infiltration is...

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Bibliographic Details
Main Authors: , ARIE SURYA NUGRAHAENI, , dr. Irianiwati, Sp.PA(K)
Format: Theses and Dissertations NonPeerReviewed
Published: [Yogyakarta] : Universitas Gadjah Mada 2014
Subjects:
ETD
Online Access:https://repository.ugm.ac.id/127809/
http://etd.ugm.ac.id/index.php?mod=penelitian_detail&sub=PenelitianDetail&act=view&typ=html&buku_id=68099
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Institution: Universitas Gadjah Mada
Description
Summary:Background : Invasive ductal carcinoma (NOS) is the most common histological type of breast carcinoma. The most important factor in determining prognostic of breast carcinoma is lymphnode metastasis which is initiated with tumor lymph vessel invasion. In carcinoma, inflammatory cell infiltration is dominated by macrophages, Tumor Associated Macrophages (TAMs). TAMs have important role in breast carcinoma progresivity by secreting inflammatory mediators that can induce angiogenesis, proliferation, invasion, and metastasis. In breast carcinoma TAMs density has been shown to correlate with poor prognosis. Role of TAMs in the occurence of LVI in breast carcinoma is still unclear. Objectives : To know the correlation between Tumor Associated Macrophage (TAMs) with LVI in breast carcinoma. Methods : 44 of blocks paraffin of invasive ductal carcinoma of the breast in RSUP Dr. Sardjito, Yogyakarta. These spesimens were stained immunohistochemically with monoclonal antibody anti CD68 and D2-40. Expression of TAMs were determined from the amount of macrophages which cytoplasm expressed CD68. LVI was determined by present or absent of tumor cell invasion to lymph vessel which the endotel cell expressed D2-40. Five microscope fields were used and cut-off point of TAMs was determined from median value. Correlation between amount of TAMs with LVI were analized with Pearson Chi-square Test correlation. Results : Cut-off point of TAMs was 49. Frequency of high TAMs : 22 (50%), low : 22 (50%). Number of sampel contain of LVI : 38 (86,4%), and absent : 6 (13,6%). There were significant correlation between TAMs infiltration with LVI in breast carcinoma p=0,008 CI 95% (1,065-1,776). Conclusion : This study supported the important role of TAMs in tumor lymphovascular invasion in breast carcinoma.