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Surgery General 39ff28cd

In case of CA breast most prognostic factor is ?

A
Size of tumour
B
Lymph node status
C
Presence of estrogen receptor
D
Age. of menopause
High-Yield Explanation
Ans is 'b' ie lymph node status "the most impoant prognostic correlate for disease free and overall survival is axillary lymph node status. Node-negative women have less than a 30% risk of recurrence, compared to as much as a 75% risk for node-positive women." - Schwaz * But remember * Lymph node status may be the single most indicator of prognosis, but 'stage of breast cancer' is a better indicator of prognosis as it includes lymph node status along with loco-regional status of cancer (i.e. size, involvement of chest or overlying skin) and metastasis [so if stage of breast cancer is among the options, it should be the answer

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