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Post-mastectomy radiotherapy benefits subgroups of breast cancer patients with T1–2 tumor and 1–3 axillary lymph node(s) metastasis

Identifieur interne : 002680 ( Main/Exploration ); précédent : 002679; suivant : 002681

Post-mastectomy radiotherapy benefits subgroups of breast cancer patients with T1–2 tumor and 1–3 axillary lymph node(s) metastasis

Auteurs : Yu-Li Su [Taïwan] ; Shan-Hsuan Li [Taïwan] ; Yen-Yang Chen [Taïwan] ; Hui-Chun Chen [Taïwan] ; Yen Tang [Taïwan] ; Cheng-Hua Huang [Taïwan] ; Fong-Fu Chou [Taïwan] ; Shih-Chung Wu [Taïwan] ; Kun-Ming Rau [Taïwan]

Source :

RBID : PMC:4110089

Abstract

Background

To determine the role of postmastectomy radiotherapy (PMRT) in breast cancer patients with T1–2 and N1 disease.

Patients and methods.

A total of 207 postmastectomy women were enrolled. The 5-year Kaplan-Meier estimates of locoregional recurrence rate (LRR), distant recurrence rate (DRR) and overall survival (OS) were analyzed by different tumor characteristics. Multivariate analyses were performed using Cox proportional hazards modeling.

Results

With median follow-up 59.5 months, the 5-year LRR, DRR and OS were 9.1%, 20.3% and 84.4%, respectively. On univariate analysis, age < 40 years old (p = 0.003) and Her-2/neu over-expression (p = 0.016) were associated with higher LRR, whereas presence of LVI significantly predicted higher DRR (p = 0.026). Negative estrogen status (p = 0.033), Her-2/neu overexpression (p = 0.001) and LVI (p = 0.01) were significantly correlated with worse OS. PMRT didn’t prove to reduce 5-year LRR (p = 0.107), as well as 5-year OS (p = 0.918). In subgroup analysis, PMRT showed significant benefits of improvement LRR and OS in patients with positive LVI.

Conclusions

For patients with T1–2 and N1 stage breast cancer, PMRT can decrease locoregional recurrence and increase overall survival only in patients with lymphovascular invasion.


Url:
DOI: 10.2478/raon-2013-0085
PubMed: 25177247
PubMed Central: 4110089


Affiliations:


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Le document en format XML

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<name sortKey="Chou, Fong Fu" sort="Chou, Fong Fu" uniqKey="Chou F" first="Fong-Fu" last="Chou">Fong-Fu Chou</name>
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<name sortKey="Wu, Shih Chung" sort="Wu, Shih Chung" uniqKey="Wu S" first="Shih-Chung" last="Wu">Shih-Chung Wu</name>
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<nlm:aff id="af2-rado-48-03-314"> Chang Gung University, College of Medicine, Taoyuan, Taiwan</nlm:aff>
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<nlm:aff id="af6-rado-48-03-314"> Cancer Center, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan</nlm:aff>
<country xml:lang="fr">Taïwan</country>
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<sec>
<title>Background</title>
<p>To determine the role of postmastectomy radiotherapy (PMRT) in breast cancer patients with T1–2 and N1 disease.</p>
</sec>
<sec>
<title>Patients and methods.</title>
<p>A total of 207 postmastectomy women were enrolled. The 5-year Kaplan-Meier estimates of locoregional recurrence rate (LRR), distant recurrence rate (DRR) and overall survival (OS) were analyzed by different tumor characteristics. Multivariate analyses were performed using Cox proportional hazards modeling.</p>
</sec>
<sec>
<title>Results</title>
<p>With median follow-up 59.5 months, the 5-year LRR, DRR and OS were 9.1%, 20.3% and 84.4%, respectively. On univariate analysis, age < 40 years old (p = 0.003) and Her-2/neu over-expression (p = 0.016) were associated with higher LRR, whereas presence of LVI significantly predicted higher DRR (p = 0.026). Negative estrogen status (p = 0.033), Her-2/neu overexpression (p = 0.001) and LVI (p = 0.01) were significantly correlated with worse OS. PMRT didn’t prove to reduce 5-year LRR (p = 0.107), as well as 5-year OS (p = 0.918). In subgroup analysis, PMRT showed significant benefits of improvement LRR and OS in patients with positive LVI.</p>
</sec>
<sec>
<title>Conclusions</title>
<p>For patients with T1–2 and N1 stage breast cancer, PMRT can decrease locoregional recurrence and increase overall survival only in patients with lymphovascular invasion.</p>
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<name sortKey="Chou, Fong Fu" sort="Chou, Fong Fu" uniqKey="Chou F" first="Fong-Fu" last="Chou">Fong-Fu Chou</name>
<name sortKey="Huang, Cheng Hua" sort="Huang, Cheng Hua" uniqKey="Huang C" first="Cheng-Hua" last="Huang">Cheng-Hua Huang</name>
<name sortKey="Li, Shan Hsuan" sort="Li, Shan Hsuan" uniqKey="Li S" first="Shan-Hsuan" last="Li">Shan-Hsuan Li</name>
<name sortKey="Li, Shan Hsuan" sort="Li, Shan Hsuan" uniqKey="Li S" first="Shan-Hsuan" last="Li">Shan-Hsuan Li</name>
<name sortKey="Rau, Kun Ming" sort="Rau, Kun Ming" uniqKey="Rau K" first="Kun-Ming" last="Rau">Kun-Ming Rau</name>
<name sortKey="Rau, Kun Ming" sort="Rau, Kun Ming" uniqKey="Rau K" first="Kun-Ming" last="Rau">Kun-Ming Rau</name>
<name sortKey="Rau, Kun Ming" sort="Rau, Kun Ming" uniqKey="Rau K" first="Kun-Ming" last="Rau">Kun-Ming Rau</name>
<name sortKey="Tang, Yen" sort="Tang, Yen" uniqKey="Tang Y" first="Yen" last="Tang">Yen Tang</name>
<name sortKey="Wu, Shih Chung" sort="Wu, Shih Chung" uniqKey="Wu S" first="Shih-Chung" last="Wu">Shih-Chung Wu</name>
</country>
</tree>
</affiliations>
</record>

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HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002680 | SxmlIndent | more

Ou

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Pour mettre un lien sur cette page dans le réseau Wicri

{{Explor lien
   |wiki=    Wicri/Sante
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   |type=    RBID
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Pour générer des pages wiki

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