Treatment outcomes and prognostic factors for patients with brain metastases from breast cancer of each subtype: a multicenter retrospective analysis

To define prognostic factors for breast cancer patients with brain metastases, compare their clinical courses and prognoses according to breast cancer subtypes, and analyze the causes of death in such patients. We retrospectively analyzed 1,466 patients diagnosed with brain metastases between April...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Breast cancer research and treatment 2014-08, Vol.147 (1), p.103-112
Hauptverfasser: Niikura, Naoki, Hayashi, Naoki, Masuda, Norikazu, Takashima, Seiki, Nakamura, Rikiya, Watanabe, Ken-ichi, Kanbayashi, Chizuko, Ishida, Mayumi, Hozumi, Yasuo, Tsuneizumi, Michiko, Kondo, Naoto, Naito, Yoichi, Honda, Yayoi, Matsui, Akira, Fujisawa, Tomomi, Oshitanai, Risa, Yasojima, Hiroyuki, Tokuda, Yutaka, Saji, Shigehira, Iwata, Hiroji
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 112
container_issue 1
container_start_page 103
container_title Breast cancer research and treatment
container_volume 147
creator Niikura, Naoki
Hayashi, Naoki
Masuda, Norikazu
Takashima, Seiki
Nakamura, Rikiya
Watanabe, Ken-ichi
Kanbayashi, Chizuko
Ishida, Mayumi
Hozumi, Yasuo
Tsuneizumi, Michiko
Kondo, Naoto
Naito, Yoichi
Honda, Yayoi
Matsui, Akira
Fujisawa, Tomomi
Oshitanai, Risa
Yasojima, Hiroyuki
Tokuda, Yutaka
Saji, Shigehira
Iwata, Hiroji
description To define prognostic factors for breast cancer patients with brain metastases, compare their clinical courses and prognoses according to breast cancer subtypes, and analyze the causes of death in such patients. We retrospectively analyzed 1,466 patients diagnosed with brain metastases between April 1, 2001 and December 31, 2012, from 24 institutions of the Japan Clinical Oncology Group. Overall, 1,256 patients with brain metastases were included. The median overall survival (OS) was 8.7 months (95 % confidence interval [CI] 7.8–9.6 months). Univariate and multivariate analyses revealed that patients diagnosed with brain metastasis within 6 months of metastatic breast cancer diagnoses, asymptomatic brain disease, or HER2-positive/estrogen receptor-positive tumors had increased OS. Median OS after the development of brain metastases was 9.3 months (95 % CI 7.2–11.3) for the luminal type, 16.5 months (95 % CI 11.9–21.1) for the luminal-HER2 type, 11.5 months (95 % CI 9.1–13.8) for the HER2 type, and 4.9 months (95 % CI 3.9–5.9) for the triple-negative type. Luminal-HER2 type patients had significantly longer OS than patients with the luminal type (hazard ratio [HR] = 1.50, P  
doi_str_mv 10.1007/s10549-014-3090-8
format Article
fullrecord <record><control><sourceid>gale_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1553317525</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><galeid>A434426595</galeid><sourcerecordid>A434426595</sourcerecordid><originalsourceid>FETCH-LOGICAL-c638t-4888dd63bdf8efc646901498d43ac4002b586d0b35da261f39536e7ba0ff60b3</originalsourceid><addsrcrecordid>eNqNkl1rFDEUhgdR7Fr9Ad5IQBBvpiaTj5l4V4pfUPCm9yGTOdlNmZmsScayP8T_61m36la0SAIhJ8_7nuTkVNVzRs8Ype2bzKgUuqZM1JxqWncPqhWTLa_bhrUPqxVlqq1VR9VJ9STna0qpbql-XJ00klGlFFtV364S2DLBXEhciosTZGLngWxTXM8xl-CIt67ElImPiWxtCchmchPKhvTJhplMUGzGiUqf4oRRwD1xdnaQSPQErNuQvPRlt4W3xJJpGdEXbfA4QUkxb8GV8BUwsx13OeSn1SNvxwzPbtfT6ur9u6uLj_Xl5w-fLs4va6d4V2rRdd0wKN4PvgPvlFAaa6G7QXDrBKVNLzs10J7LwTaKea4lV9D2lnqvMHxavT7Y4mu_LJCLmUJ2MI52hrhkw6TknLWykYi-_AO9jkvC6_6gmlYzofhvam1HMGH2sSTr9qbmXHAhGiW1vJfindRaK6GROvsLhWOAKbg4gw8Yv2P7X4LjDK-OBBuwY9nkOC4lxDnfdb4XPHZkB9Dhp-YE3mxTmGzaGUbNvmXNoWUNfpPZt6zpUPPitrJLP8HwS_GzRxFoDkDGo3kN6aj0_3T9DhY19Mw</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1552791463</pqid></control><display><type>article</type><title>Treatment outcomes and prognostic factors for patients with brain metastases from breast cancer of each subtype: a multicenter retrospective analysis</title><source>MEDLINE</source><source>SpringerLink Journals - AutoHoldings</source><creator>Niikura, Naoki ; Hayashi, Naoki ; Masuda, Norikazu ; Takashima, Seiki ; Nakamura, Rikiya ; Watanabe, Ken-ichi ; Kanbayashi, Chizuko ; Ishida, Mayumi ; Hozumi, Yasuo ; Tsuneizumi, Michiko ; Kondo, Naoto ; Naito, Yoichi ; Honda, Yayoi ; Matsui, Akira ; Fujisawa, Tomomi ; Oshitanai, Risa ; Yasojima, Hiroyuki ; Tokuda, Yutaka ; Saji, Shigehira ; Iwata, Hiroji</creator><creatorcontrib>Niikura, Naoki ; Hayashi, Naoki ; Masuda, Norikazu ; Takashima, Seiki ; Nakamura, Rikiya ; Watanabe, Ken-ichi ; Kanbayashi, Chizuko ; Ishida, Mayumi ; Hozumi, Yasuo ; Tsuneizumi, Michiko ; Kondo, Naoto ; Naito, Yoichi ; Honda, Yayoi ; Matsui, Akira ; Fujisawa, Tomomi ; Oshitanai, Risa ; Yasojima, Hiroyuki ; Tokuda, Yutaka ; Saji, Shigehira ; Iwata, Hiroji</creatorcontrib><description>To define prognostic factors for breast cancer patients with brain metastases, compare their clinical courses and prognoses according to breast cancer subtypes, and analyze the causes of death in such patients. We retrospectively analyzed 1,466 patients diagnosed with brain metastases between April 1, 2001 and December 31, 2012, from 24 institutions of the Japan Clinical Oncology Group. Overall, 1,256 patients with brain metastases were included. The median overall survival (OS) was 8.7 months (95 % confidence interval [CI] 7.8–9.6 months). Univariate and multivariate analyses revealed that patients diagnosed with brain metastasis within 6 months of metastatic breast cancer diagnoses, asymptomatic brain disease, or HER2-positive/estrogen receptor-positive tumors had increased OS. Median OS after the development of brain metastases was 9.3 months (95 % CI 7.2–11.3) for the luminal type, 16.5 months (95 % CI 11.9–21.1) for the luminal-HER2 type, 11.5 months (95 % CI 9.1–13.8) for the HER2 type, and 4.9 months (95 % CI 3.9–5.9) for the triple-negative type. Luminal-HER2 type patients had significantly longer OS than patients with the luminal type (hazard ratio [HR] = 1.50, P  &lt; 0.0001) and triple-negative type (HR = 1.97, P  &lt; 0.0001); no significant differences were noted compared to HER2-type patients (HR = 1.19, P  = 0.117). The prognosis and clinical course of patients with brain metastasis from breast cancer before and after developing brain metastases vary according to subtype. Focusing on the subtypes of breast cancer can optimize the prevention, early detection, and improved treatment of brain metastases.</description><identifier>ISSN: 0167-6806</identifier><identifier>EISSN: 1573-7217</identifier><identifier>DOI: 10.1007/s10549-014-3090-8</identifier><identifier>PMID: 25106661</identifier><identifier>CODEN: BCTRD6</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Brain ; Brain Neoplasms - mortality ; Brain Neoplasms - secondary ; Brain Neoplasms - therapy ; Breast cancer ; Breast Neoplasms - classification ; Breast Neoplasms - mortality ; Breast Neoplasms - pathology ; Breast Neoplasms - therapy ; Cancer metastasis ; Cancer patients ; Cancer research ; Cancer therapies ; Care and treatment ; Clinical Trial ; Combined Modality Therapy ; Development and progression ; Epidermal growth factor ; Female ; Follow-Up Studies ; Humans ; Medical prognosis ; Medicine ; Medicine &amp; Public Health ; Metastasis ; Middle Aged ; Neoplasm Grading ; Neoplasm Recurrence, Local - mortality ; Neoplasm Recurrence, Local - pathology ; Neoplasm Recurrence, Local - therapy ; Neoplasm Staging ; Oncology ; Patient outcomes ; Prognosis ; Receptor, ErbB-2 - metabolism ; Receptors, Estrogen - metabolism ; Receptors, Progesterone - metabolism ; Retrospective Studies ; Survival Rate</subject><ispartof>Breast cancer research and treatment, 2014-08, Vol.147 (1), p.103-112</ispartof><rights>Springer Science+Business Media New York 2014</rights><rights>COPYRIGHT 2014 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c638t-4888dd63bdf8efc646901498d43ac4002b586d0b35da261f39536e7ba0ff60b3</citedby><cites>FETCH-LOGICAL-c638t-4888dd63bdf8efc646901498d43ac4002b586d0b35da261f39536e7ba0ff60b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10549-014-3090-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10549-014-3090-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/25106661$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Niikura, Naoki</creatorcontrib><creatorcontrib>Hayashi, Naoki</creatorcontrib><creatorcontrib>Masuda, Norikazu</creatorcontrib><creatorcontrib>Takashima, Seiki</creatorcontrib><creatorcontrib>Nakamura, Rikiya</creatorcontrib><creatorcontrib>Watanabe, Ken-ichi</creatorcontrib><creatorcontrib>Kanbayashi, Chizuko</creatorcontrib><creatorcontrib>Ishida, Mayumi</creatorcontrib><creatorcontrib>Hozumi, Yasuo</creatorcontrib><creatorcontrib>Tsuneizumi, Michiko</creatorcontrib><creatorcontrib>Kondo, Naoto</creatorcontrib><creatorcontrib>Naito, Yoichi</creatorcontrib><creatorcontrib>Honda, Yayoi</creatorcontrib><creatorcontrib>Matsui, Akira</creatorcontrib><creatorcontrib>Fujisawa, Tomomi</creatorcontrib><creatorcontrib>Oshitanai, Risa</creatorcontrib><creatorcontrib>Yasojima, Hiroyuki</creatorcontrib><creatorcontrib>Tokuda, Yutaka</creatorcontrib><creatorcontrib>Saji, Shigehira</creatorcontrib><creatorcontrib>Iwata, Hiroji</creatorcontrib><title>Treatment outcomes and prognostic factors for patients with brain metastases from breast cancer of each subtype: a multicenter retrospective analysis</title><title>Breast cancer research and treatment</title><addtitle>Breast Cancer Res Treat</addtitle><addtitle>Breast Cancer Res Treat</addtitle><description>To define prognostic factors for breast cancer patients with brain metastases, compare their clinical courses and prognoses according to breast cancer subtypes, and analyze the causes of death in such patients. We retrospectively analyzed 1,466 patients diagnosed with brain metastases between April 1, 2001 and December 31, 2012, from 24 institutions of the Japan Clinical Oncology Group. Overall, 1,256 patients with brain metastases were included. The median overall survival (OS) was 8.7 months (95 % confidence interval [CI] 7.8–9.6 months). Univariate and multivariate analyses revealed that patients diagnosed with brain metastasis within 6 months of metastatic breast cancer diagnoses, asymptomatic brain disease, or HER2-positive/estrogen receptor-positive tumors had increased OS. Median OS after the development of brain metastases was 9.3 months (95 % CI 7.2–11.3) for the luminal type, 16.5 months (95 % CI 11.9–21.1) for the luminal-HER2 type, 11.5 months (95 % CI 9.1–13.8) for the HER2 type, and 4.9 months (95 % CI 3.9–5.9) for the triple-negative type. Luminal-HER2 type patients had significantly longer OS than patients with the luminal type (hazard ratio [HR] = 1.50, P  &lt; 0.0001) and triple-negative type (HR = 1.97, P  &lt; 0.0001); no significant differences were noted compared to HER2-type patients (HR = 1.19, P  = 0.117). The prognosis and clinical course of patients with brain metastasis from breast cancer before and after developing brain metastases vary according to subtype. Focusing on the subtypes of breast cancer can optimize the prevention, early detection, and improved treatment of brain metastases.</description><subject>Brain</subject><subject>Brain Neoplasms - mortality</subject><subject>Brain Neoplasms - secondary</subject><subject>Brain Neoplasms - therapy</subject><subject>Breast cancer</subject><subject>Breast Neoplasms - classification</subject><subject>Breast Neoplasms - mortality</subject><subject>Breast Neoplasms - pathology</subject><subject>Breast Neoplasms - therapy</subject><subject>Cancer metastasis</subject><subject>Cancer patients</subject><subject>Cancer research</subject><subject>Cancer therapies</subject><subject>Care and treatment</subject><subject>Clinical Trial</subject><subject>Combined Modality Therapy</subject><subject>Development and progression</subject><subject>Epidermal growth factor</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Humans</subject><subject>Medical prognosis</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Neoplasm Grading</subject><subject>Neoplasm Recurrence, Local - mortality</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Neoplasm Recurrence, Local - therapy</subject><subject>Neoplasm Staging</subject><subject>Oncology</subject><subject>Patient outcomes</subject><subject>Prognosis</subject><subject>Receptor, ErbB-2 - metabolism</subject><subject>Receptors, Estrogen - metabolism</subject><subject>Receptors, Progesterone - metabolism</subject><subject>Retrospective Studies</subject><subject>Survival Rate</subject><issn>0167-6806</issn><issn>1573-7217</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2014</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>8G5</sourceid><sourceid>BENPR</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNqNkl1rFDEUhgdR7Fr9Ad5IQBBvpiaTj5l4V4pfUPCm9yGTOdlNmZmsScayP8T_61m36la0SAIhJ8_7nuTkVNVzRs8Ype2bzKgUuqZM1JxqWncPqhWTLa_bhrUPqxVlqq1VR9VJ9STna0qpbql-XJ00klGlFFtV364S2DLBXEhciosTZGLngWxTXM8xl-CIt67ElImPiWxtCchmchPKhvTJhplMUGzGiUqf4oRRwD1xdnaQSPQErNuQvPRlt4W3xJJpGdEXbfA4QUkxb8GV8BUwsx13OeSn1SNvxwzPbtfT6ur9u6uLj_Xl5w-fLs4va6d4V2rRdd0wKN4PvgPvlFAaa6G7QXDrBKVNLzs10J7LwTaKea4lV9D2lnqvMHxavT7Y4mu_LJCLmUJ2MI52hrhkw6TknLWykYi-_AO9jkvC6_6gmlYzofhvam1HMGH2sSTr9qbmXHAhGiW1vJfindRaK6GROvsLhWOAKbg4gw8Yv2P7X4LjDK-OBBuwY9nkOC4lxDnfdb4XPHZkB9Dhp-YE3mxTmGzaGUbNvmXNoWUNfpPZt6zpUPPitrJLP8HwS_GzRxFoDkDGo3kN6aj0_3T9DhY19Mw</recordid><startdate>20140801</startdate><enddate>20140801</enddate><creator>Niikura, Naoki</creator><creator>Hayashi, Naoki</creator><creator>Masuda, Norikazu</creator><creator>Takashima, Seiki</creator><creator>Nakamura, Rikiya</creator><creator>Watanabe, Ken-ichi</creator><creator>Kanbayashi, Chizuko</creator><creator>Ishida, Mayumi</creator><creator>Hozumi, Yasuo</creator><creator>Tsuneizumi, Michiko</creator><creator>Kondo, Naoto</creator><creator>Naito, Yoichi</creator><creator>Honda, Yayoi</creator><creator>Matsui, Akira</creator><creator>Fujisawa, Tomomi</creator><creator>Oshitanai, Risa</creator><creator>Yasojima, Hiroyuki</creator><creator>Tokuda, Yutaka</creator><creator>Saji, Shigehira</creator><creator>Iwata, Hiroji</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7TO</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>H94</scope><scope>K9-</scope><scope>K9.</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2O</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20140801</creationdate><title>Treatment outcomes and prognostic factors for patients with brain metastases from breast cancer of each subtype: a multicenter retrospective analysis</title><author>Niikura, Naoki ; Hayashi, Naoki ; Masuda, Norikazu ; Takashima, Seiki ; Nakamura, Rikiya ; Watanabe, Ken-ichi ; Kanbayashi, Chizuko ; Ishida, Mayumi ; Hozumi, Yasuo ; Tsuneizumi, Michiko ; Kondo, Naoto ; Naito, Yoichi ; Honda, Yayoi ; Matsui, Akira ; Fujisawa, Tomomi ; Oshitanai, Risa ; Yasojima, Hiroyuki ; Tokuda, Yutaka ; Saji, Shigehira ; Iwata, Hiroji</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c638t-4888dd63bdf8efc646901498d43ac4002b586d0b35da261f39536e7ba0ff60b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2014</creationdate><topic>Brain</topic><topic>Brain Neoplasms - mortality</topic><topic>Brain Neoplasms - secondary</topic><topic>Brain Neoplasms - therapy</topic><topic>Breast cancer</topic><topic>Breast Neoplasms - classification</topic><topic>Breast Neoplasms - mortality</topic><topic>Breast Neoplasms - pathology</topic><topic>Breast Neoplasms - therapy</topic><topic>Cancer metastasis</topic><topic>Cancer patients</topic><topic>Cancer research</topic><topic>Cancer therapies</topic><topic>Care and treatment</topic><topic>Clinical Trial</topic><topic>Combined Modality Therapy</topic><topic>Development and progression</topic><topic>Epidermal growth factor</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Humans</topic><topic>Medical prognosis</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Neoplasm Grading</topic><topic>Neoplasm Recurrence, Local - mortality</topic><topic>Neoplasm Recurrence, Local - pathology</topic><topic>Neoplasm Recurrence, Local - therapy</topic><topic>Neoplasm Staging</topic><topic>Oncology</topic><topic>Patient outcomes</topic><topic>Prognosis</topic><topic>Receptor, ErbB-2 - metabolism</topic><topic>Receptors, Estrogen - metabolism</topic><topic>Receptors, Progesterone - metabolism</topic><topic>Retrospective Studies</topic><topic>Survival Rate</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Niikura, Naoki</creatorcontrib><creatorcontrib>Hayashi, Naoki</creatorcontrib><creatorcontrib>Masuda, Norikazu</creatorcontrib><creatorcontrib>Takashima, Seiki</creatorcontrib><creatorcontrib>Nakamura, Rikiya</creatorcontrib><creatorcontrib>Watanabe, Ken-ichi</creatorcontrib><creatorcontrib>Kanbayashi, Chizuko</creatorcontrib><creatorcontrib>Ishida, Mayumi</creatorcontrib><creatorcontrib>Hozumi, Yasuo</creatorcontrib><creatorcontrib>Tsuneizumi, Michiko</creatorcontrib><creatorcontrib>Kondo, Naoto</creatorcontrib><creatorcontrib>Naito, Yoichi</creatorcontrib><creatorcontrib>Honda, Yayoi</creatorcontrib><creatorcontrib>Matsui, Akira</creatorcontrib><creatorcontrib>Fujisawa, Tomomi</creatorcontrib><creatorcontrib>Oshitanai, Risa</creatorcontrib><creatorcontrib>Yasojima, Hiroyuki</creatorcontrib><creatorcontrib>Tokuda, Yutaka</creatorcontrib><creatorcontrib>Saji, Shigehira</creatorcontrib><creatorcontrib>Iwata, Hiroji</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Oncogenes and Growth Factors Abstracts</collection><collection>Health &amp; Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>ProQuest Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health &amp; Medical Complete (Alumni)</collection><collection>Consumer Health Database</collection><collection>Health &amp; Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Research Library</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Breast cancer research and treatment</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Niikura, Naoki</au><au>Hayashi, Naoki</au><au>Masuda, Norikazu</au><au>Takashima, Seiki</au><au>Nakamura, Rikiya</au><au>Watanabe, Ken-ichi</au><au>Kanbayashi, Chizuko</au><au>Ishida, Mayumi</au><au>Hozumi, Yasuo</au><au>Tsuneizumi, Michiko</au><au>Kondo, Naoto</au><au>Naito, Yoichi</au><au>Honda, Yayoi</au><au>Matsui, Akira</au><au>Fujisawa, Tomomi</au><au>Oshitanai, Risa</au><au>Yasojima, Hiroyuki</au><au>Tokuda, Yutaka</au><au>Saji, Shigehira</au><au>Iwata, Hiroji</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Treatment outcomes and prognostic factors for patients with brain metastases from breast cancer of each subtype: a multicenter retrospective analysis</atitle><jtitle>Breast cancer research and treatment</jtitle><stitle>Breast Cancer Res Treat</stitle><addtitle>Breast Cancer Res Treat</addtitle><date>2014-08-01</date><risdate>2014</risdate><volume>147</volume><issue>1</issue><spage>103</spage><epage>112</epage><pages>103-112</pages><issn>0167-6806</issn><eissn>1573-7217</eissn><coden>BCTRD6</coden><abstract>To define prognostic factors for breast cancer patients with brain metastases, compare their clinical courses and prognoses according to breast cancer subtypes, and analyze the causes of death in such patients. We retrospectively analyzed 1,466 patients diagnosed with brain metastases between April 1, 2001 and December 31, 2012, from 24 institutions of the Japan Clinical Oncology Group. Overall, 1,256 patients with brain metastases were included. The median overall survival (OS) was 8.7 months (95 % confidence interval [CI] 7.8–9.6 months). Univariate and multivariate analyses revealed that patients diagnosed with brain metastasis within 6 months of metastatic breast cancer diagnoses, asymptomatic brain disease, or HER2-positive/estrogen receptor-positive tumors had increased OS. Median OS after the development of brain metastases was 9.3 months (95 % CI 7.2–11.3) for the luminal type, 16.5 months (95 % CI 11.9–21.1) for the luminal-HER2 type, 11.5 months (95 % CI 9.1–13.8) for the HER2 type, and 4.9 months (95 % CI 3.9–5.9) for the triple-negative type. Luminal-HER2 type patients had significantly longer OS than patients with the luminal type (hazard ratio [HR] = 1.50, P  &lt; 0.0001) and triple-negative type (HR = 1.97, P  &lt; 0.0001); no significant differences were noted compared to HER2-type patients (HR = 1.19, P  = 0.117). The prognosis and clinical course of patients with brain metastasis from breast cancer before and after developing brain metastases vary according to subtype. Focusing on the subtypes of breast cancer can optimize the prevention, early detection, and improved treatment of brain metastases.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>25106661</pmid><doi>10.1007/s10549-014-3090-8</doi><tpages>10</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0167-6806
ispartof Breast cancer research and treatment, 2014-08, Vol.147 (1), p.103-112
issn 0167-6806
1573-7217
language eng
recordid cdi_proquest_miscellaneous_1553317525
source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Brain
Brain Neoplasms - mortality
Brain Neoplasms - secondary
Brain Neoplasms - therapy
Breast cancer
Breast Neoplasms - classification
Breast Neoplasms - mortality
Breast Neoplasms - pathology
Breast Neoplasms - therapy
Cancer metastasis
Cancer patients
Cancer research
Cancer therapies
Care and treatment
Clinical Trial
Combined Modality Therapy
Development and progression
Epidermal growth factor
Female
Follow-Up Studies
Humans
Medical prognosis
Medicine
Medicine & Public Health
Metastasis
Middle Aged
Neoplasm Grading
Neoplasm Recurrence, Local - mortality
Neoplasm Recurrence, Local - pathology
Neoplasm Recurrence, Local - therapy
Neoplasm Staging
Oncology
Patient outcomes
Prognosis
Receptor, ErbB-2 - metabolism
Receptors, Estrogen - metabolism
Receptors, Progesterone - metabolism
Retrospective Studies
Survival Rate
title Treatment outcomes and prognostic factors for patients with brain metastases from breast cancer of each subtype: a multicenter retrospective analysis
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-03T12%3A45%3A40IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-gale_proqu&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Treatment%20outcomes%20and%20prognostic%20factors%20for%20patients%20with%20brain%20metastases%20from%20breast%20cancer%20of%20each%20subtype:%20a%20multicenter%20retrospective%20analysis&rft.jtitle=Breast%20cancer%20research%20and%20treatment&rft.au=Niikura,%20Naoki&rft.date=2014-08-01&rft.volume=147&rft.issue=1&rft.spage=103&rft.epage=112&rft.pages=103-112&rft.issn=0167-6806&rft.eissn=1573-7217&rft.coden=BCTRD6&rft_id=info:doi/10.1007/s10549-014-3090-8&rft_dat=%3Cgale_proqu%3EA434426595%3C/gale_proqu%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=1552791463&rft_id=info:pmid/25106661&rft_galeid=A434426595&rfr_iscdi=true