中国科学院机构知识库网格
Chinese Academy of Sciences Institutional Repositories Grid
Risk evaluation of early-stage hormone receptor-positive and human epidermal growth factor receptor 2-negative breast cancer patients: a population-based study from Taiwan

文献类型:期刊论文

作者Lei, Lei3; Chan, Han-Ching1; Lu, Tzu-Pin1; Cheng, Skye Hung-Chun2,4
刊名BREAST CANCER RESEARCH AND TREATMENT
出版日期2021-07-19
关键词Human epidermal growth factor receptor 2 Breast cancer Dutch criteria Taiwan
ISSN号0167-6806
DOI10.1007/s10549-021-06330-4
通讯作者Cheng, Skye Hung-Chun(skyecheng@gmail.com)
英文摘要Purpose To assess the prognostic value of the Dutch criteria for patients with early-stage hormone receptor-positive and human epidermal growth factor receptor 2-negative breast cancer from the Taiwan Cancer Registry Database. Patients and methods We included 8295 patients with early-stage node-negative breast cancer who underwent surgery during January 2008-December 2012. Patients were stratified into low- and high-risk groups based on the Dutch criteria. The Kaplan-Meier method and log-rank test were used to estimate the difference in breast cancer-specific survival (BCSS) and overall survival (OS) between groups. Multivariable analysis was used to evaluate the prognostic value of the Dutch criteria. Results Overall, the low-risk and high-risk groups comprised 5375 and 2920 patients, respectively. In the low- and high-risk groups, the 5-year BCSS rate was 99.6% and 98.2% (P < 0.0001) and the 5-year OS rate was 98.3% and 96.8% (P < 0.0001), respectively. The hazard ratio for BCSS was 4.18 (95% confidence interval [CI] 2.63-6.63, P < 0.0001), and the hazard ratio for OS was 1.94 (95% CI 1.48-2.55); both were significantly poorer in the high-risk group than in the low-risk group. In the low-risk group, the 5-year BCSS and OS of patients who did and did not receive adjuvant chemotherapy were similar (99.5% versus 99.6% [P = 0.927] and 98.8% and 98.1% [P = 0.0683], respectively). Conclusion The prognosis of low-risk patients as classified using the Dutch criteria is excellent with or without adjuvant chemotherapy. The benefit of multi-gene testing for chemotherapy decision-making might be minimal in these patients.
WOS关键词RECURRENCE SCORE ASSAY ; CHEMOTHERAPY ; SURVIVAL ; IMPACT
资助项目Ministry of Science and Technology, Taipei, Taiwan[MOST 105-2314-B-368-001] ; Hammer Family Fund (2018-2020) ; Zhejiang Public Welfare Technology Research Program[LGJ20H160001]
WOS研究方向Oncology
语种英语
WOS记录号WOS:000674549800002
出版者SPRINGER
资助机构Ministry of Science and Technology, Taipei, Taiwan ; Hammer Family Fund (2018-2020) ; Zhejiang Public Welfare Technology Research Program
源URL[http://ir.hfcas.ac.cn:8080/handle/334002/123308]  
专题中国科学院合肥物质科学研究院
通讯作者Cheng, Skye Hung-Chun
作者单位1.Natl Taiwan Univ, Inst Epidemiol & Prevent Med, Dept Publ Hlth, Taipei, Taiwan
2.Sun Yat Sen Canc Ctr, Dept Radiat Oncol, Koo Fdn, Taipei, Taiwan
3.Univ Chinese Acad Sci, Breast Oncol Dept, Canc Hosp, Beijing, Zhejiang, Peoples R China
4.Taitung Christian Hosp, Taitung Canc Ctr, Taitung, Taiwan
推荐引用方式
GB/T 7714
Lei, Lei,Chan, Han-Ching,Lu, Tzu-Pin,et al. Risk evaluation of early-stage hormone receptor-positive and human epidermal growth factor receptor 2-negative breast cancer patients: a population-based study from Taiwan[J]. BREAST CANCER RESEARCH AND TREATMENT,2021.
APA Lei, Lei,Chan, Han-Ching,Lu, Tzu-Pin,&Cheng, Skye Hung-Chun.(2021).Risk evaluation of early-stage hormone receptor-positive and human epidermal growth factor receptor 2-negative breast cancer patients: a population-based study from Taiwan.BREAST CANCER RESEARCH AND TREATMENT.
MLA Lei, Lei,et al."Risk evaluation of early-stage hormone receptor-positive and human epidermal growth factor receptor 2-negative breast cancer patients: a population-based study from Taiwan".BREAST CANCER RESEARCH AND TREATMENT (2021).

入库方式: OAI收割

来源:合肥物质科学研究院

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