Research Article

A New Model for Predicting Nonsentinel Lymph Node Metastasis in Early-Stage Breast Cancer Using MMP15

Table 2

Univariate logistic regression analysis of factors related to NSLN metastases.

VariablesUnivariate analysis95% CI
158 valueHRLowerUpper

Age (years)
 >50 versus ≤500.8330.9330.4921.772

Tumor type
 Others versus invasive ductal carcinoma0.6640.7590.2182.635
Tumor size (cm)0.0051.7841.192.675

Histological grade
 III versus I–II0.5520.7730.331.809

Lymphovascular invasion
 Yes versus no0.0112.5561.2365.286

Neural invasion
 Yes versus no0.01414.0741.714115.567

Size of the SLN metastasis
 Macrometastasis versus micrometastasis0.1153.4880.73816.494

Expression of MMP15 in cytoplasm
 Positive versus negative0.0062.5031.2944.842

Expression of MMP15 in nucleus
 Positive versus negative0.3561.630.5784.596
Number of positive SLNs≤0.0012.1531.53.09
Number of negative SLNs0.0020.7180.580.888

Molecular subtype
 Luminal B versus luminal A0.2483.7140.40134.443
 HER2 overexpression versus luminal A0.20740.46534.432
 Triple negative versus luminal A0.11680.598106.936
Ki-67 status
 >0.2 versus ≤0.20.1371.6290.8563.099

Tumor quadrant
 Outer upper versus others0.2880.7040.3691.344

Multifocality
 Yes versus no0.5261.5860.3826.591
Percentage of positive SLNs≤0.00120.0084.73684.523
PLR0.4070.9970.9891.004
NLR0.0330.6190.3980.963
NMR0.0570.9170.8381.003

Invasive lobular carcinoma, mixed carcinoma (invasive ductal carcinoma and invasive lobular carcinoma), tubular carcinoma, mucinous adenocarcinoma, papillary carcinoma, and sweaty adenoid carcinoma; SLNs, sentinel lymph nodes; MMP15, matrix metalloproteinase 15; PLR, the ratio of the absolute number of platelets to the absolute number of lymphocytes; NLR, the ratio of the absolute number of neutrophils to the absolute number of lymphocytes; NMR, the absolute number of neutrophils to the absolute number of monocytes.