Table 1

Pathological features of invasive lobular carcinomas compared with grade-matched invasive ductal carcinoma of no special type

VariablesInvasive ductal carcinoma of no special type (n=820 (65.8%))Invasive lobular carcinomas (n=426 (34.2%))p Value
Operation type:
 Mastectomy (vs wide local excision)466 (56.8%)254 (59.6%)0.464
Axillary-node surgery:
 Axillary sample (vs clearance)476 (58.0%)245 (57.4%)0.661
Histological grade 155 (6.7%)18 (4.2%)0.130
2692 (84.4%)376 (88.3%)
373 (8.9%)32 (7.5%)
Mean size (mm)17.124.4<0.0001
Vascular invasion211 (27.7%)39 (13.5%)<0.001
Oestrogen receptor (positive)311 (84%)492 (72%)<0.001
Progesterone receptor (positive)232 (65%)353 (58%)0.024
Lymph-node stage
 Nottingham Prognostic Index stage 1549 (67.0%)259 (60.8%)<0.0001
 2234 (28.5%)111 (26.1%)
 337 (4.5%)56 (13.1%)
 Tumour–node–metastasis stage pN0549 (67.0%)259 (60.8%)<0.0001
 pN1234 (28.5%)111 (26.1%)
 pN235 (4.3%)38 (8.9%)
 pN32 (0.2%)18 (4.2%)
Total no of nodes removed (mean)5.356.200.043
Positive nodes*
 Mean no of positive nodes2.124.20<0.0001
 Axillary lymph-node ratio (positive nodes/total no of nodes removed), median (range)0.25 (0.04–1.0)0.37 (0.08–1.0)<0.001
  • * When the analysis was restricted to cases with four or more axillary lymph nodes sampled, the mean number of positive nodes in invasive lobular carcinomas was 4.7 (±SD 5.8; range 1–38) compared with a mean of 2.3 nodes positive (±SD 2.2; range 1–20) in invasive ductal carcinoma.