In order to further investigate the feasibility of developing prevention and treatment strategies targeted to the postpartum window, it postpartum breast involution be essential to determine if postpartum breast involution is modified by race, reproductive and lactation histories, as well as risk profiles. Here, we characterize breast tissue from premenopausal women with known reproductive histories to determine the extent, duration and cellular mechanisms of postpartum lobular involution in women. Natl Vital Stat Postpartum breast involution. To address the potential confounder of malignancy, we compared adjacent normal lobular composition of women diagnosed with benign breast lesions to those with cancer.
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Postpartum breast involution reveals regression of secretory lobules mediated by tissue-remodeling
Analyses of apoptosis and immune cell infiltrate confirmed that human postpartum breast involution is characterized by wound healing-like tissue remodeling programs that occur within a narrowed time frame. Measuring lobular-area is an alternative method to assess lobule differentiation state. A postpartum diagnosis of breast cancer is an independent predictor of metastases, however postpartum breast involution reason is unknown.
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These later studies identify a postpartum diagnosis as an independent, poor prognostic factor for young women, and are contrary to some expectations that a diagnosis during pregnancy would have the poorest prognosis [ 1012 - 14 ]. A postpartum diagnosis of breast cancer is an independent predictor of metastases, however the reason is unknown. The average number of acini per lobule per type in the breast tissue samples evaluated last column are not different than postpartum breast involution acinar numbers previously observed in human breast tissue second column, reference 39validating the acinar count method for subsequent analyses.
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