1586P - Different breast tumor morphological structures reflect specific EMT states and contribute to cancer metastasis

Date 10 October 2016
Event ESMO 2016 Congress
Session Poster display
Topics Pathology/Molecular Biology
Basic Scientific Principles
Presenter Tatiana Gerashchenko
Citation Annals of Oncology (2016) 27 (6): 545-551. 10.1093/annonc/mdw393
Authors T. Gerashchenko1, E. Denisov2, D. Pautova3, M. Zavyalova4, N. Cherdyntseva1, V. Perelmuter4
  • 1Molecular Oncology And Immunology, Tomsk Cancer Research Institute, 634050 - Tomsk/RU
  • 2Translational Cellular And Molecular Biomedicine, Tomsk State University, 634050 - Tomsk/RU
  • 3Cytology And Genetics, Tomsk State University, 634050 - Tomsk/RU
  • 4Pathological Anatomy And Cytology, Tomsk Cancer Research Institute, 634050 - Tomsk/RU



Epithelial-mesenchymal transition (EMT) is an obligatory event during invasion and metastasis and contributes to tumor progression. Intratumor morphological heterogeneity of invasive carcinoma no special type (IC NST), represented by five types of morphological structures: tubular, trabecular, solid, alveolar structures, and discrete groups of tumor cells, is associated with tumor progression. The presence of alveolar structures in the tumors of untreated patients is linked with lymph node metastasis (Zavyalova et al., 2013), however the mechanism of this fact is unknown. The aim of this work was to estimate the association between morphological structures and metastasis frequency in the chemotherapy treated patients and to study gene expression profile of the structures.


438 IC NST patients (mean age 50, T1-4N0-3M0-1) treated with neoadjuvant chemotherapy have been enrolled. SurePrint G3 v2 8x60K gene expression arrays were used to analyze transcriptome of morphological structures, isolated from fresh tumors (n = 3) by laser microdissection.


Patients with alveolar or trabecular structures or discrete group of cells in breast tumors more frequently displayed lymph node metastasis than cases without these morphological variants (65.3% vs. 33.2%, р 


Five types of morphological structures of IC NST may represent different EMT states and thus contribute to tumor metastasis. Research is supported by Russian Science Foundation Grant: No. 14-15-00318

Clinical trial identification

Legal entity responsible for the study

Tomsk Cancer Research Institute


Russian Science Foundation Grant: No. 14-15-00318


All authors have declared no conflicts of interest.