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 : 002681Post-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 :
- Radiology and Oncology [ 1318-2099 ] ; 2014.
Abstract
To determine the role of postmastectomy radiotherapy (PMRT) in breast cancer patients with T1–2 and N1 disease.
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.
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.
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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<author><name sortKey="Li, Shan Hsuan" sort="Li, Shan Hsuan" uniqKey="Li S" first="Shan-Hsuan" last="Li">Shan-Hsuan Li</name>
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<author><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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<author><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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<author><name sortKey="Rau, Kun Ming" sort="Rau, Kun Ming" uniqKey="Rau K" first="Kun-Ming" last="Rau">Kun-Ming Rau</name>
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<affiliation wicri:level="1"><nlm:aff id="af2-rado-48-03-314"> Chang Gung University, College of Medicine, Taoyuan, Taiwan</nlm:aff>
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<front><div type="abstract" xml:lang="en"><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>
</sec>
</div>
</front>
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<affiliations><list><country><li>Taïwan</li>
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<tree><country name="Taïwan"><noRegion><name sortKey="Su, Yu Li" sort="Su, Yu Li" uniqKey="Su Y" first="Yu-Li" last="Su">Yu-Li Su</name>
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<name sortKey="Chen, Hui Chun" sort="Chen, Hui Chun" uniqKey="Chen H" first="Hui-Chun" last="Chen">Hui-Chun Chen</name>
<name sortKey="Chen, Yen Yang" sort="Chen, Yen Yang" uniqKey="Chen Y" first="Yen-Yang" last="Chen">Yen-Yang Chen</name>
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<name sortKey="Li, Shan Hsuan" sort="Li, Shan Hsuan" uniqKey="Li S" first="Shan-Hsuan" last="Li">Shan-Hsuan Li</name>
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