n = 152 | Overall % | |
---|---|---|
Mean age, years, (range) | 51.5 (32-87) | |
Mean observation period, months, (range) | 64.7 (9.7-119.0) | |
Menopausal status | ||
Premenopausal | 75 | 49% |
Postmenopausal | 77 | 51% |
Chemotherapy | ||
Yes | 127 | 84% |
Neoadjuvant | (47) | (31%) |
Postoperative | (80) | (53%) |
No | 25 | 16% |
Preoperative endocrine therapy | 2 | 1% |
Types of chemotherapy | ||
Anthracyclines and taxane | 106 | 70% |
Anthracycline only | 3 | 2% |
Taxane only | 18 | 12% |
Postoperative endocrine therapy | ||
Yes | 150 | 99% |
(Tamoxifen) | (76) | (50%) |
(Anastrozole) | (42) | (27%) |
(Letrozole) | (28) | (18%) |
(Exemestane) | (4) | 3% |
No | 2 | 1% |
LHRH agonist | 15 | 10% |
Stage | ||
Stage IIA | 25 | 16% |
Stage IIB | 33 | 22% |
Stage IIIA | 66 | 43% |
Stage IIIB | 1 | 1% |
Stage IIIC | 27 | 18% |
Median invasive diameter, cm (range) | 2.8 (0.7-26.5) | |
Invasive diameter ≥5 cm | 55 | 36% |
Median lymph node metastases (range) | 3 (137) | |
Four or more lymph node metastases | 68 | 44% |
pCR after NAC | 3 | 7% |
Nuclear Grade | ||
1, 2 | 56 | 37% |
3 | 96 | 63% |
Ki67 | ||
Ki67 ≧ 20% | 39 | 26% |
Ki67 < 20% | 90 | 59% |
unknown | 24 | 16% |
Progeterone receptor | ||
Positive | 126 | 83% |
Negative | 26 | 17% |
Cohort | ||
1 | 152 | 100% |
(High) | (39) | (26%) |
(Low) | (90) | (59%) |
(Unknown) | (36) | (24%) |
2 | 0 |
n =152 | % | |
---|---|---|
IDFS Event | 30 | 20% |
Patients with invasive disease, first recurrence | 27 (18%) | 18% |
(Local/regional recurrence) | (6) | (4%) |
(Distant recurrence) | (19) | (13%) |
(Contralateral recurrence) | (0) | |
(Second primary neoplasm) | (5) | (3%) |
Death from any cause without invasive disease | 3 | 2% |
Median time to IDFS event, months(range) | 60 (3.8119) | |
DRFS event | 19 | 13% |
Median time to DRFS event, months(range) | 34.7 (3.9105) | |
Bone | 11 | 7% |
Liver | 5 | 3% |
Lung | 5 | 3% |
Brain | 1 | 0.7% |
Lymph node | 3 | 2% |
Pleura | 0 | |
Central nervous system | 0 | |
Soft tissue | 0 | |
Skin | 0 | |
Peritoneum | 0 | |
Other | 1 | 0.7% |
Death from any cause without | 3 | 2% |
Distant recurrence | ||
Final Outcomes | ||
Survival | 143 | 91% |
Death | 9 | 6% |
(breast cancer) | (5) | (3%) |
IDFS events | Yes (n = 30) | No (n = 122) | P value |
---|---|---|---|
Chemotherapy | 0.17 | ||
Yes | 22 (73%) | 104 (85%) | |
No | 8 (27%) | 18 (15%) | |
Menopausal | |||
Premenopausal | 12 (40%) | 63 (52%) | 0.31 |
Postmenopausal | 18 (60%) | 59 (48%) | |
Lymph Node Metastasis | |||
≤3 | 13 (43%) | 70 (57%) | 0.22 |
>4 | 17 (57%) | 52 (43%) | |
NG | |||
NG1, 2 | 14 (47%) | 42 (34%) | 0.29 |
NG3 | 16 (53%) | 80 (66%) | |
Diameter | |||
<5cm | 15 (50%) | 40 (33%) | 0.09 |
≧ 5cm | 15 (50%) | 82 (67%) | |
Ki-67 | |||
<20% | 10 (33%) | 29 (24%) | 0.22 |
≧20% | 14 (47%) | 76 (62%) | |
Unknown | 6 (20%) | 17 (14%) |
Present Study (n = 152) | MonarchE Study (n = 2,808) | |
---|---|---|
Menopausal | ||
Premenopausal | 75 (49%) | 1,221 (43.5%) |
Postmenopausal | 77 (51%) | 1,587 (56.5%) |
Chemotherapy | ||
Yes | 127 (84%) | 2,681 (95.5%) |
(Neoadjuvant) | 47 (31%) | 1,039 (37.0%) |
(Postoperative) | 80 (53 %) | 1,642 (58.5%) |
No | 25 (16%) | 127 (4.5%) |
Types of Chemotherapy | ||
Anthracyclines and taxane | 106 (70%) | 2,349 (83.7%) |
Anthracycline only | 3 (2%) | 151 (5.3%) |
Taxane only | 18 (12%) | 217 (7.7%) |
Postoperative Endocrine Therapy | ||
Yes | 150 (99%) | 2,808 (100%) |
(Tamoxifen) | 76 (50%) | 857 (30.7%) |
(Anastrozole) | 42 (27%) | 611 (21.9%) |
(Letrozole) | 28 (18 %) | 1,092 (39.1%) |
(Exemestane) | 4 (3%) | 225 (8.1%) |
No | 2 (1%) | 0 |
LHRH agonist | 15 (10%) | 606 (21.7%) |
Stage | ||
Stage ⅠA | 0 | 2 (0.1%) |
Stage Ⅱ | 58 (38%) | 712 (25.4%) |
Stage Ⅲ | 94 (62%) | 2,081 (74.5%) |
Invasive diameter 5 cm or more | 55 (36%) | 610 (21.7%) |
Lymph node metastasis ≧ 4 | 68 (44%) | 1,680 (59.8%) |
Ki67 ≧ 20% | 39 (26%) | 953 (34%) |
Ki67 < 20% | 90 (59%) | 1,855 (66%) |
Premenopausal (n = 75) | Postmenopausal (n = 77) | P value | |
---|---|---|---|
Age | 46.1 ± 6.8 | 65.6 ± 9.7 | < 0.01 |
Stage | |||
Stage Ⅱ | 31 (41%) | 27 (35%) | 0.51 |
Stage Ⅲ | 44 (59%) | 50 (65%) | |
Diameter | |||
<5 cm | 45 | 52 | 0.40 |
>5 cm | 30 | 25 | |
Lymph Node Metastasis | |||
<3 | 45 (60%) | 38 (49%) | 0.20 |
≥4 | 30 (40%) | 39 (51%) | |
NG | |||
NG1, 2 | 32 (43%) | 24 (31%) | 0.18 |
NG3 | 43 (57%) | 53 (67%) | |
Chemotherapy | |||
Yes | 70 (93%) | 56 (73%) | <0.01 |
Neoadjuvant | |||
Adjuvant | |||
No | 5 (7%) | 21 (27%) | |
Postoperative Endocrine Therapy | |||
Yes | Tamoxifen vs. Aromataze inhibitor < 0.01 |
||
(Tamoxifen) | 72 (96%) | 4 (5%) | |
(Anastrozole) | 0 | 42 (55%) | |
(Letrozole) | 2 (3%) | 26 (34%) | |
(Exemestane) | 0 | 4 (5%) | |
No | 1 (1%) | 1 (1%) | |
LH-RH agonist | 10 (13%) | 0 | <0.07 |