Predictors of Auxillary Lymph Node Involvement in Screen Detected Breast Cancer

Background: Axillary lymph node dissection as routine part of breast cancer treatment has been questioned in relation to the balance between benefits and morbidity. The purpose of this study is to determine the association of tumor size, age and histological grade with axillary lymph node metastasis, to determine if some patients could be exempted from axillary dissection. Methods: The data are derived from BreastScreen NSW, the government sponsored population-based breast screening program. In New South Wales (NSW) Australia between 1995 and 2002, 7,221 patients with invasive breast carcinoma were diagnosed and 5,290 patients were eligible for this study. The relationship between incidence of positive axillary lymph nodes and three study factors (tumor size, age and histological grade) was investigated by univariate and multivariate analysis. Logistic regression models were used to predict probability of axillary metastases. Results: The incidence of axillary lymph node metastases was 28.6% (95% CI: 27.4%- 29.8%). Univariate analysis showed that age, tumor size and histological grade were significant predictors of axillary lymph node metastases (p<0.0001). Multivariate analysis identified age, tumor size and histological grade remained as independent predictors (p<0.0001). From multivariate analysis, patients with T1a (Less than or equal to 5mm) and grade I tumors regardless of age had 5.2% (95% CI: 1.2%- 9.3%) frequency of node metastases. Patients 70 years or older with grade I, T1a and T1b (6-10mm) tumors had 4.9% (95% CI: 3.2%- 7.5%) and 6.6% (95% CI: 5.3%-8.3%) predicted frequency of node metastases. Conclusions: Tumor size, age and histological grade are predictors of axillary lymph node metastases. Routine axillary lymph node dissection could be avoided in some patient groups with a low frequency of involved lymph nodes if the benefits are considered to exceed the risks

Predictors of Auxillary Lymph Node Involvement in Screen Detected Breast Cancer

Background: Axillary lymph node dissection as routine part of breast cancer treatment has been questioned in relation to the balance between benefits and morbidity. The purpose of this study is to determine the association of tumor size, age and histological grade with axillary lymph node metastasis, to determine if some patients could be exempted from axillary dissection. Methods: The data are derived from BreastScreen NSW, the government sponsored population-based breast screening program. In New South Wales (NSW) Australia between 1995 and 2002, 7,221 patients with invasive breast carcinoma were diagnosed and 5,290 patients were eligible for this study. The relationship between incidence of positive axillary lymph nodes and three study factors (tumor size, age and histological grade) was investigated by univariate and multivariate analysis. Logistic regression models were used to predict probability of axillary metastases. Results: The incidence of axillary lymph node metastases was 28.6% (95% CI: 27.4%- 29.8%). Univariate analysis showed that age, tumor size and histological grade were significant predictors of axillary lymph node metastases (p<0.0001). Multivariate analysis identified age, tumor size and histological grade remained as independent predictors (p<0.0001). From multivariate analysis, patients with T1a (Less than or equal to 5mm) and grade I tumors regardless of age had 5.2% (95% CI: 1.2%- 9.3%) frequency of node metastases. Patients 70 years or older with grade I, T1a and T1b (6-10mm) tumors had 4.9% (95% CI: 3.2%- 7.5%) and 6.6% (95% CI: 5.3%-8.3%) predicted frequency of node metastases. Conclusions: Tumor size, age and histological grade are predictors of axillary lymph node metastases. Routine axillary lymph node dissection could be avoided in some patient groups with a low frequency of involved lymph nodes if the benefits are considered to exceed the risks

Optimal 1->M universal quantum cloning via spin networks

We present a scheme that transform 1 qubit to M identical copies with optimal fidedelity via free dynamical evolution of spin star networks. We show that the Heisenberg XXZ coupling can fulfill the challenge. The initial state of the copying machine and the parameters of the spin Hamiltonian are discussed in detail. Furthermore we have proposed a feasible method to prepare the initial state of the copying machine.Comment: 4 pages, 2 figure

An overview of out-of-step protection in power systems

Power system is subjected to an extensive variety of little or bigger disturbance to the system during the operation. The power system that designed as one of the main requirement is to survive from the larger type of disturbances like faults. The power swing in certain system is the variation in three phase power flow in the power system. This paper mainly discussed the power swing and distance relay and the effect of the power swing on the distance relay and demonstrate about the basic power system stability and power swing phenomena. Moreover, out of step protection and detection applications are revised as well. At the end, the paper also demonstrated the past study of out of step application of TNB 275 KV network

Retrieval of phase memory in two independent atomic ensembles by Raman process

In spontaneous Raman process in atomic cell at high gain, both the Stokes field and the accompanying collective atomic excitation (atomic spin wave) are coherent. We find that, due to the spontaneous nature of the process, the phases of the Stokes field and the atomic spin wave change randomly from one realization to another but are anti-correlated. The phases of the atomic ensembles are read out via another Raman process at a later time, thus realizing phase memory in atoms. The observation of phase correlation between the Stokes field and the collective atomic excitations is an important step towards macroscopic EPR-type entanglement of continuous variables between light and atoms