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A fibrotic focus is a scar-like area in the centre of a carcinoma and can be regarded as a focus of exaggerated reactive tumour stroma formation. Although modern surgical pathology uses different histopathological and molecular markers to assess the aggressiveness and predict the behaviour of malignant tumours, markers reflecting stromal cell behaviour and interactions between epithelial cells and stromal cells are scarce. In this review we summarize all studies investigating the value of a fibrotic focus as a prognostic factor and as a surrogate marker for hypoxia and (lymph)angiogenesis in patients with breast cancer. These data show that a fibrotic focus can be used as a practical, easily assessable and reproducible integrative histological prognostic parameter in breast cancer. We propose a consensus methodology to assess the fibrotic focus in breast cancer.

Original publication

DOI

10.1111/j.1365-2559.2007.02761.x

Type

Journal article

Journal

Histopathology

Publication Date

10/2007

Volume

51

Pages

440 - 451

Keywords

Biomarkers, Tumor, Breast, Breast Neoplasms, Cell Hypoxia, Female, Fibrosis, Humans, Lymphangiogenesis, Prognosis