Number of negative lymph nodes is associated with disease-free survival in patients with breast cancer
Identifieur interne : 001A39 ( Main/Exploration ); précédent : 001A38; suivant : 001A40Number of negative lymph nodes is associated with disease-free survival in patients with breast cancer
Auteurs : San-Gang Wu [République populaire de Chine] ; Jia-Yuan Sun [République populaire de Chine] ; Juan Zhou [République populaire de Chine] ; Feng-Yan Li [République populaire de Chine] ; Qin Lin [République populaire de Chine] ; Huan-Xin Lin [République populaire de Chine] ; Xun-Xing Guan [République populaire de Chine] ; Zhen-Yu He [République populaire de Chine]Source :
- BMC Cancer [ 1471-2407 ] ; 2015.
Abstract
The aim of this study was to evaluate the prognostic value of the number of negative lymph nodes (NLNs) in breast cancer patients after mastectomy.
2,455 breast cancer patients who received a mastectomy between January 1998 and December 2007 were retrospectively reviewed. The prognostic impact of the number of NLNs with respect to disease-free survival (DFS) was analyzed.
The median follow-up time was 62.0 months, and the 5-year and 10-year DFS was 87.1% and 74.3%, respectively. The DFS of patients with >10 NLNs was significantly higher than that of patents with ≤10 NLNs, and the 5-year DFS rates were 87.5% and 69.5%, respectively (
The number of NLNs is an independent prognostic factor of DFS in breast cancer patients after mastectomy, and patients with a higher number of NLNs have a better DFS.
Url:
DOI: 10.1186/s12885-015-1061-z
PubMed: 25880737
PubMed Central: 4324425
Affiliations:
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University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, 510060 People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Zhou, Juan" sort="Zhou, Juan" uniqKey="Zhou J" first="Juan" last="Zhou">Juan Zhou</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Xiamen Cancer Center, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xiamen University, Xiamen, 361003 People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Xiamen Cancer Center, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xiamen University, Xiamen</wicri:regionArea><wicri:noRegion>Xiamen</wicri:noRegion></affiliation></author><author><name sortKey="Li, Feng Yan" sort="Li, Feng Yan" uniqKey="Li F" first="Feng-Yan" last="Li">Feng-Yan Li</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, 510060 People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Lin, Qin" sort="Lin, Qin" uniqKey="Lin Q" first="Qin" last="Lin">Qin Lin</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Xiamen Cancer Center, Department of Radiation Oncology, the First Affiliated Hospital of Xiamen University, Xiamen, 361003 People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Xiamen Cancer Center, Department of Radiation Oncology, the First Affiliated Hospital of Xiamen University, Xiamen</wicri:regionArea><wicri:noRegion>Xiamen</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Huan Xin" sort="Lin, Huan Xin" uniqKey="Lin H" first="Huan-Xin" last="Lin">Huan-Xin Lin</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, 510060 People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Guan, Xun Xing" sort="Guan, Xun Xing" uniqKey="Guan X" first="Xun-Xing" last="Guan">Xun-Xing Guan</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, 510060 People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Sun Yat-sen 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Zhou</name><affiliation wicri:level="1"><nlm:aff id="Aff3">Xiamen Cancer Center, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xiamen University, Xiamen, 361003 People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Xiamen Cancer Center, Department of Obstetrics and Gynecology, the First Affiliated Hospital of Xiamen University, Xiamen</wicri:regionArea><wicri:noRegion>Xiamen</wicri:noRegion></affiliation></author><author><name sortKey="Li, Feng Yan" sort="Li, Feng Yan" uniqKey="Li F" first="Feng-Yan" last="Li">Feng-Yan Li</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, 510060 People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Lin, Qin" sort="Lin, Qin" uniqKey="Lin Q" first="Qin" last="Lin">Qin Lin</name><affiliation wicri:level="1"><nlm:aff id="Aff1">Xiamen Cancer Center, Department of Radiation Oncology, the First Affiliated Hospital of Xiamen University, Xiamen, 361003 People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Xiamen Cancer Center, Department of Radiation Oncology, the First Affiliated Hospital of Xiamen University, Xiamen</wicri:regionArea><wicri:noRegion>Xiamen</wicri:noRegion></affiliation></author><author><name sortKey="Lin, Huan Xin" sort="Lin, Huan Xin" uniqKey="Lin H" first="Huan-Xin" last="Lin">Huan-Xin Lin</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, 510060 People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="Guan, Xun Xing" sort="Guan, Xun Xing" uniqKey="Guan X" first="Xun-Xing" last="Guan">Xun-Xing Guan</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, 510060 People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author><author><name sortKey="He, Zhen Yu" sort="He, Zhen Yu" uniqKey="He Z" first="Zhen-Yu" last="He">Zhen-Yu He</name><affiliation wicri:level="3"><nlm:aff id="Aff2">Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, 510060 People’s Republic of China</nlm:aff><country xml:lang="fr">République populaire de Chine</country><wicri:regionArea>Department of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou</wicri:regionArea><placeName><settlement type="city">Jiangmen</settlement><region type="province">Guangdong</region></placeName></affiliation></author></analytic><series><title level="j">BMC Cancer</title><idno type="eISSN">1471-2407</idno><imprint><date when="2015">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>The aim of this study was to evaluate the prognostic value of the number of negative lymph nodes (NLNs) in breast cancer patients after mastectomy.</p></sec><sec><title>Methods</title><p>2,455 breast cancer patients who received a mastectomy between January 1998 and December 2007 were retrospectively reviewed. The prognostic impact of the number of NLNs with respect to disease-free survival (DFS) was analyzed.</p></sec><sec><title>Results</title><p>The median follow-up time was 62.0 months, and the 5-year and 10-year DFS was 87.1% and 74.3%, respectively. The DFS of patients with >10 NLNs was significantly higher than that of patents with ≤10 NLNs, and the 5-year DFS rates were 87.5% and 69.5%, respectively (<italic>P</italic> < 0.001). Univariate Cox analysis showed that the NLN count (continuous variable) was a prognostic factor of DFS (hazard ratio [HR] = 0.913, 95% confidence interval [CI]: 0.896-0.930, <italic>P</italic> < 0.001). In multivariate Cox analysis, patients with a higher number of NLNs had a better DFS (HR = 0.977, 95% CI: 0.958-0.997, <italic>P</italic> = 0.022). Subgroup analysis showed that the NLN count had a prognostic value in patients at different pT stages and pN positive patients (log-rank <italic>P</italic> < 0.001). However, it had no prognostic value in pN0 patients (log-rank <italic>P</italic> = 0.684).</p></sec><sec><title>Conclusions</title><p>The number of NLNs is an independent prognostic factor of DFS in breast cancer patients after mastectomy, and patients with a higher number of NLNs have a better DFS.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Sackey, H" uniqKey="Sackey H">H Sackey</name></author><author><name sortKey="Magnuson, A" uniqKey="Magnuson A">A Magnuson</name></author><author><name sortKey="Sandelin, K" uniqKey="Sandelin K">K Sandelin</name></author><author><name sortKey="Liljegren, G" uniqKey="Liljegren G">G Liljegren</name></author><author><name sortKey="Bergkvist, L" uniqKey="Bergkvist L">L Bergkvist</name></author><author><name sortKey="Fulep, Z" uniqKey="Fulep Z">Z Fülep</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="De Gournay, E" uniqKey="De Gournay E">E De 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Platell</name></author><author><name sortKey="Iacopetta, B" uniqKey="Iacopetta B">B Iacopetta</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Goldhirsch, A" uniqKey="Goldhirsch A">A Goldhirsch</name></author><author><name sortKey="Winer, Ep" uniqKey="Winer E">EP Winer</name></author><author><name sortKey="Coates, As" uniqKey="Coates A">AS Coates</name></author><author><name sortKey="Gelber, Rd" uniqKey="Gelber R">RD Gelber</name></author><author><name sortKey="Piccart Gebhart, M" uniqKey="Piccart Gebhart M">M Piccart-Gebhart</name></author><author><name sortKey="Thurlimann, B" uniqKey="Thurlimann B">B Thürlimann</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vujovic, O" uniqKey="Vujovic O">O Vujovic</name></author><author><name sortKey="Yu, E" uniqKey="Yu E">E Yu</name></author><author><name sortKey="Cherian, A" uniqKey="Cherian A">A Cherian</name></author><author><name sortKey="Dar, Ar" uniqKey="Dar A">AR Dar</name></author><author><name sortKey="Stitt, L" uniqKey="Stitt L">L Stitt</name></author><author><name sortKey="Perera, F" uniqKey="Perera F">F Perera</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>République populaire de Chine</li></country><region><li>Guangdong</li></region><settlement><li>Jiangmen</li></settlement></list><tree><country name="République populaire de Chine"><noRegion><name sortKey="Wu, San Gang" sort="Wu, San Gang" uniqKey="Wu S" first="San-Gang" last="Wu">San-Gang Wu</name></noRegion><name sortKey="Guan, Xun Xing" sort="Guan, Xun Xing" uniqKey="Guan X" first="Xun-Xing" last="Guan">Xun-Xing Guan</name><name sortKey="He, Zhen Yu" sort="He, Zhen Yu" uniqKey="He Z" first="Zhen-Yu" last="He">Zhen-Yu He</name><name sortKey="Li, Feng Yan" sort="Li, Feng Yan" uniqKey="Li F" first="Feng-Yan" last="Li">Feng-Yan Li</name><name sortKey="Lin, Huan Xin" sort="Lin, Huan Xin" uniqKey="Lin H" first="Huan-Xin" last="Lin">Huan-Xin Lin</name><name sortKey="Lin, Qin" sort="Lin, Qin" uniqKey="Lin Q" first="Qin" last="Lin">Qin Lin</name><name sortKey="Sun, Jia Yuan" sort="Sun, Jia Yuan" uniqKey="Sun J" first="Jia-Yuan" last="Sun">Jia-Yuan Sun</name><name sortKey="Zhou, Juan" sort="Zhou, Juan" uniqKey="Zhou J" first="Juan" last="Zhou">Juan Zhou</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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