Table 1. Patients’ Characteristics and Pathological Stage and Factors.

From: Clinical Information and Prognosis of High-risk Luminal Breast Cancer Subjects Eligible for the MonarhE Study

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
Table 2. Occurrence Events and Prognosis.

From: Clinical Information and Prognosis of High-risk Luminal Breast Cancer Subjects Eligible for the MonarhE Study

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%)
Table 3. Occurrence of IDFS Events.

From: Clinical Information and Prognosis of High-risk Luminal Breast Cancer Subjects Eligible for the MonarhE Study

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%)
Table 4. Comparison with the MonarchE Study.

From: Clinical Information and Prognosis of High-risk Luminal Breast Cancer Subjects Eligible for the MonarhE Study

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%)
Table 5. Comparison between Premenopausal and Postmenopausal Patients.

From: Clinical Information and Prognosis of High-risk Luminal Breast Cancer Subjects Eligible for the MonarhE Study

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
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