Previously published studies raise the possibility of a link between breast phyllodes tumors (PT) grading and Ki-67 expression. In the current study, the authors conducted a literature review and meta-analysis to evaluate the association between the histological grades of PT and Ki-67 positivity, as well as the potential role of this immunomarker for the grading of PT. Observational studies grading PT and providing Ki-67 expression levels were retrieved from databases searches up to 11 August 2024, with 10 % or more of positive stromal cells being considered the cut-off point. A subgroup analysis included studies using the World Health Organization (WHO) criteria for PT grading. A total of 416 PT from 10 studies were included, with 25 % (106/416) showing increased Ki-67 expression. A significant association was found with increased Ki-67 expression in borderline PT compared to benign PT (OR 19.44
CI 3.11-121.74
P = 0.008
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