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Nine surgical pathologists participated in a microscopic review of 35 cases of pT1-2 N0 M0 breast carcinoma. The pathologists outlined strict criteria for the identification of intramammary lymphatics and blood vessels and for the identification of cancerous emboli in these vascular channels. Each mastectomy case was studied by three different pathologists. All three concurred on the presence or absence of intralymphatic cancer in 12 of the 35 cases. Observers agreed on the absence of blood vessel invasion in 30 of the 35 cases. There was no consistent bias on the part of a single reviewer, either alone or with another pathologist, in identifying the emboli. We conclude that the identification of intralymphatic cancerous emboli in mastectomy specimens is not a reliably reproducible prognostic finding on which recommendation of systemic chemotherapy in stage I breast carcinoma patients can be based.
K W Gilchrist, and
V E Gould, and
S Hirschl, and
J E Imbriglia, and
A S Patchefsky, and
D W Penner, and
J Pickren, and
I S Schwartz, and
J E Wheeler, and
J M Barnes, and
E G Mansour
January 1983,
Pathology annual,
K W Gilchrist, and
V E Gould, and
S Hirschl, and
J E Imbriglia, and
A S Patchefsky, and
D W Penner, and
J Pickren, and
I S Schwartz, and
J E Wheeler, and
J M Barnes, and
E G Mansour
March 1977,
The American journal of surgical pathology,
K W Gilchrist, and
V E Gould, and
S Hirschl, and
J E Imbriglia, and
A S Patchefsky, and
D W Penner, and
J Pickren, and
I S Schwartz, and
J E Wheeler, and
J M Barnes, and
E G Mansour
January 2009,
Indian journal of medical sciences,
K W Gilchrist, and
V E Gould, and
S Hirschl, and
J E Imbriglia, and
A S Patchefsky, and
D W Penner, and
J Pickren, and
I S Schwartz, and
J E Wheeler, and
J M Barnes, and
E G Mansour
September 1990,
Cancer,
K W Gilchrist, and
V E Gould, and
S Hirschl, and
J E Imbriglia, and
A S Patchefsky, and
D W Penner, and
J Pickren, and
I S Schwartz, and
J E Wheeler, and
J M Barnes, and
E G Mansour
January 2018,
Cancer treatment reviews,
K W Gilchrist, and
V E Gould, and
S Hirschl, and
J E Imbriglia, and
A S Patchefsky, and
D W Penner, and
J Pickren, and
I S Schwartz, and
J E Wheeler, and
J M Barnes, and
E G Mansour
April 2021,
Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc,
K W Gilchrist, and
V E Gould, and
S Hirschl, and
J E Imbriglia, and
A S Patchefsky, and
D W Penner, and
J Pickren, and
I S Schwartz, and
J E Wheeler, and
J M Barnes, and
E G Mansour
January 1984,
Scandinavian journal of plastic and reconstructive surgery,
K W Gilchrist, and
V E Gould, and
S Hirschl, and
J E Imbriglia, and
A S Patchefsky, and
D W Penner, and
J Pickren, and
I S Schwartz, and
J E Wheeler, and
J M Barnes, and
E G Mansour
February 2011,
The American journal of surgical pathology,
K W Gilchrist, and
V E Gould, and
S Hirschl, and
J E Imbriglia, and
A S Patchefsky, and
D W Penner, and
J Pickren, and
I S Schwartz, and
J E Wheeler, and
J M Barnes, and
E G Mansour
October 2020,
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K W Gilchrist, and
V E Gould, and
S Hirschl, and
J E Imbriglia, and
A S Patchefsky, and
D W Penner, and
J Pickren, and
I S Schwartz, and
J E Wheeler, and
J M Barnes, and
E G Mansour
January 1995,
Modern pathology : an official journal of the United States and Canadian Academy of Pathology, Inc,
