Specific sites of metastases in invasive lobular carcinoma: a retrospective cohort study of metastatic breast cancer

Background Invasive lobular carcinoma (ILC) is known to be the second most common histological type following invasive ductal carcinoma (IDC). Definitive clinical features of ILC are controversial. Methods We retrospectively analyzed a cohort of 330 patients with metastatic breast cancer, 303 of IDC...

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Veröffentlicht in:Breast cancer (Tokyo, Japan) Japan), 2017-09, Vol.24 (5), p.667-672
Hauptverfasser: Inoue, Masayuki, Nakagomi, Hiroshi, Nakada, Haruka, Furuya, Kazushige, Ikegame, Kou, Watanabe, Hideki, Omata, Masao, Oyama, Toshio
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container_end_page 672
container_issue 5
container_start_page 667
container_title Breast cancer (Tokyo, Japan)
container_volume 24
creator Inoue, Masayuki
Nakagomi, Hiroshi
Nakada, Haruka
Furuya, Kazushige
Ikegame, Kou
Watanabe, Hideki
Omata, Masao
Oyama, Toshio
description Background Invasive lobular carcinoma (ILC) is known to be the second most common histological type following invasive ductal carcinoma (IDC). Definitive clinical features of ILC are controversial. Methods We retrospectively analyzed a cohort of 330 patients with metastatic breast cancer, 303 of IDC, 19 of ILC, and 8 of others. We compared the patient age and tumor–node–metastasis factors, disease-free survival (DFS), estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor 2 (HER2) expression at the primary site between ILC and IDC. We then selected the patients in the ER + or PR + /HER2 − subtype specifically and compared sites of recurrence, and the survival curve starting from the point of development of metastatic disease. Results The clinical stage was significantly higher in the ILC patients than in the IDC ( p  = 0.001). The mean (±SD) of DFS for the ILC and IDC patients was 2.6 ± 0.6 and 2.4 ± 0.3 years, respectively, with no significant difference ( p  = 0.18). However, the hormone receptor status was same between both groups; the rate of HER2 positivity was significantly lower in the ILC group (0%) than in the IDC group (16.2%) ( p  = 0.05). In ER + or PR + /HER2 − subtype, the mean DFS for the ILC and IDC was 2.9 ± 0.6 and 3.1 ± 0.3 years, and the median survival time after the recurrence for ILC and IDC patients was 4.2 ± 0.7 and 5.6 ± 0.7 years, respectively, with no significant difference ( p  = 0.77). The frequency of lung metastases was significantly lower in the ILC group (6.3%) than in the IDC group (53.7%) ( p  
doi_str_mv 10.1007/s12282-017-0753-4
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Definitive clinical features of ILC are controversial. Methods We retrospectively analyzed a cohort of 330 patients with metastatic breast cancer, 303 of IDC, 19 of ILC, and 8 of others. We compared the patient age and tumor–node–metastasis factors, disease-free survival (DFS), estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor 2 (HER2) expression at the primary site between ILC and IDC. We then selected the patients in the ER + or PR + /HER2 − subtype specifically and compared sites of recurrence, and the survival curve starting from the point of development of metastatic disease. Results The clinical stage was significantly higher in the ILC patients than in the IDC ( p  = 0.001). The mean (±SD) of DFS for the ILC and IDC patients was 2.6 ± 0.6 and 2.4 ± 0.3 years, respectively, with no significant difference ( p  = 0.18). However, the hormone receptor status was same between both groups; the rate of HER2 positivity was significantly lower in the ILC group (0%) than in the IDC group (16.2%) ( p  = 0.05). In ER + or PR + /HER2 − subtype, the mean DFS for the ILC and IDC was 2.9 ± 0.6 and 3.1 ± 0.3 years, and the median survival time after the recurrence for ILC and IDC patients was 4.2 ± 0.7 and 5.6 ± 0.7 years, respectively, with no significant difference ( p  = 0.77). The frequency of lung metastases was significantly lower in the ILC group (6.3%) than in the IDC group (53.7%) ( p  &lt; 0.01), while the frequency of peritoneal metastases was significantly higher in the ILC group (68.8%) than in the IDC group (1%) ( p  = 0.00). Of note, the prognosis after the diagnosis of peritoneal metastases was poor, with a median survival time of 19 ± 9 months and resistance to hormone therapy. Conclusions The extremely high rate (68.8%) of peritoneal metastases was observed in long-term follow-up for the metastatic breast cancer patients with ILC. We need to reveal the definitive feature of ILC and develop new therapeutic strategies to prevent the dissemination of ILCs.</description><identifier>ISSN: 1340-6868</identifier><identifier>EISSN: 1880-4233</identifier><identifier>DOI: 10.1007/s12282-017-0753-4</identifier><identifier>PMID: 28108967</identifier><language>eng</language><publisher>Tokyo: Springer Japan</publisher><subject>Adult ; Aged ; Antineoplastic Agents, Hormonal - therapeutic use ; Breast Neoplasms - drug therapy ; Breast Neoplasms - mortality ; Breast Neoplasms - pathology ; Cancer ; Cancer Research ; Carcinoma, Ductal, Breast - drug therapy ; Carcinoma, Ductal, Breast - mortality ; Carcinoma, Ductal, Breast - pathology ; Carcinoma, Ductal, Breast - secondary ; Carcinoma, Lobular - drug therapy ; Carcinoma, Lobular - mortality ; Carcinoma, Lobular - pathology ; Carcinoma, Lobular - secondary ; Comparative analysis ; Development and progression ; Disease-Free Survival ; Epidermal growth factor ; Estrogen ; Female ; Follow-Up Studies ; Hormone therapy ; Humans ; Lung Neoplasms - epidemiology ; Lung Neoplasms - pathology ; Lung Neoplasms - secondary ; Lymphatic Metastasis ; Medicine ; Medicine &amp; Public Health ; Metastasis ; Middle Aged ; Neoplasm Recurrence, Local - drug therapy ; Neoplasm Recurrence, Local - mortality ; Neoplasm Recurrence, Local - pathology ; Oncology ; Oncology, Experimental ; Original Article ; Peritoneal Neoplasms - epidemiology ; Peritoneal Neoplasms - pathology ; Peritoneal Neoplasms - secondary ; Progesterone ; Prognosis ; Receptor, ErbB-2 - metabolism ; Receptors, Estrogen - metabolism ; Receptors, Progesterone - metabolism ; Retrospective Studies ; Surgery ; Surgical Oncology ; Treatment Outcome</subject><ispartof>Breast cancer (Tokyo, Japan), 2017-09, Vol.24 (5), p.667-672</ispartof><rights>The Japanese Breast Cancer Society 2017</rights><rights>COPYRIGHT 2017 Springer</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c501t-222353134b765ffa26094527b8ffad533a1d3c8a95bf1f15c52a73b4999640b83</citedby><cites>FETCH-LOGICAL-c501t-222353134b765ffa26094527b8ffad533a1d3c8a95bf1f15c52a73b4999640b83</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/s12282-017-0753-4$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s12282-017-0753-4$$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/28108967$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Inoue, Masayuki</creatorcontrib><creatorcontrib>Nakagomi, Hiroshi</creatorcontrib><creatorcontrib>Nakada, Haruka</creatorcontrib><creatorcontrib>Furuya, Kazushige</creatorcontrib><creatorcontrib>Ikegame, Kou</creatorcontrib><creatorcontrib>Watanabe, Hideki</creatorcontrib><creatorcontrib>Omata, Masao</creatorcontrib><creatorcontrib>Oyama, Toshio</creatorcontrib><title>Specific sites of metastases in invasive lobular carcinoma: a retrospective cohort study of metastatic breast cancer</title><title>Breast cancer (Tokyo, Japan)</title><addtitle>Breast Cancer</addtitle><addtitle>Breast Cancer</addtitle><description>Background Invasive lobular carcinoma (ILC) is known to be the second most common histological type following invasive ductal carcinoma (IDC). Definitive clinical features of ILC are controversial. Methods We retrospectively analyzed a cohort of 330 patients with metastatic breast cancer, 303 of IDC, 19 of ILC, and 8 of others. We compared the patient age and tumor–node–metastasis factors, disease-free survival (DFS), estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor 2 (HER2) expression at the primary site between ILC and IDC. We then selected the patients in the ER + or PR + /HER2 − subtype specifically and compared sites of recurrence, and the survival curve starting from the point of development of metastatic disease. Results The clinical stage was significantly higher in the ILC patients than in the IDC ( p  = 0.001). The mean (±SD) of DFS for the ILC and IDC patients was 2.6 ± 0.6 and 2.4 ± 0.3 years, respectively, with no significant difference ( p  = 0.18). However, the hormone receptor status was same between both groups; the rate of HER2 positivity was significantly lower in the ILC group (0%) than in the IDC group (16.2%) ( p  = 0.05). In ER + or PR + /HER2 − subtype, the mean DFS for the ILC and IDC was 2.9 ± 0.6 and 3.1 ± 0.3 years, and the median survival time after the recurrence for ILC and IDC patients was 4.2 ± 0.7 and 5.6 ± 0.7 years, respectively, with no significant difference ( p  = 0.77). The frequency of lung metastases was significantly lower in the ILC group (6.3%) than in the IDC group (53.7%) ( p  &lt; 0.01), while the frequency of peritoneal metastases was significantly higher in the ILC group (68.8%) than in the IDC group (1%) ( p  = 0.00). Of note, the prognosis after the diagnosis of peritoneal metastases was poor, with a median survival time of 19 ± 9 months and resistance to hormone therapy. Conclusions The extremely high rate (68.8%) of peritoneal metastases was observed in long-term follow-up for the metastatic breast cancer patients with ILC. We need to reveal the definitive feature of ILC and develop new therapeutic strategies to prevent the dissemination of ILCs.</description><subject>Adult</subject><subject>Aged</subject><subject>Antineoplastic Agents, Hormonal - therapeutic use</subject><subject>Breast Neoplasms - drug therapy</subject><subject>Breast Neoplasms - mortality</subject><subject>Breast Neoplasms - pathology</subject><subject>Cancer</subject><subject>Cancer Research</subject><subject>Carcinoma, Ductal, Breast - drug therapy</subject><subject>Carcinoma, Ductal, Breast - mortality</subject><subject>Carcinoma, Ductal, Breast - pathology</subject><subject>Carcinoma, Ductal, Breast - secondary</subject><subject>Carcinoma, Lobular - drug therapy</subject><subject>Carcinoma, Lobular - mortality</subject><subject>Carcinoma, Lobular - pathology</subject><subject>Carcinoma, Lobular - secondary</subject><subject>Comparative analysis</subject><subject>Development and progression</subject><subject>Disease-Free Survival</subject><subject>Epidermal growth factor</subject><subject>Estrogen</subject><subject>Female</subject><subject>Follow-Up Studies</subject><subject>Hormone therapy</subject><subject>Humans</subject><subject>Lung Neoplasms - epidemiology</subject><subject>Lung Neoplasms - pathology</subject><subject>Lung Neoplasms - secondary</subject><subject>Lymphatic Metastasis</subject><subject>Medicine</subject><subject>Medicine &amp; Public Health</subject><subject>Metastasis</subject><subject>Middle Aged</subject><subject>Neoplasm Recurrence, Local - drug therapy</subject><subject>Neoplasm Recurrence, Local - mortality</subject><subject>Neoplasm Recurrence, Local - pathology</subject><subject>Oncology</subject><subject>Oncology, Experimental</subject><subject>Original Article</subject><subject>Peritoneal Neoplasms - epidemiology</subject><subject>Peritoneal Neoplasms - pathology</subject><subject>Peritoneal Neoplasms - secondary</subject><subject>Progesterone</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>Surgery</subject><subject>Surgical Oncology</subject><subject>Treatment Outcome</subject><issn>1340-6868</issn><issn>1880-4233</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kUtrFjEUhoMotlZ_gBsZcONmai6Tm7tS6gUKLtR1yGROasrM5DPJFPrvPR9TRUEkgZwkz_uSnJeQl4yeM0r128o4N7ynTPdUS9EPj8gpM4b2AxfiMdZioL0yypyQZ7XeUjoITdVTcsINo8YqfUralwOEFFPoampQuxy7BZqvOHGXVpx3vqY76OY8brMvXfAlpDUv_l3nuwKt5IoW7YiE_D2X1tW2Tfd_ODV0HwtgieI1QHlOnkQ_V3jxsJ6Rb--vvl5-7K8_f_h0eXHdB0lZ6znnQgr8xKiVjNFzRe0guR4NbiYphGeTCMZbOUYWmQySey3GwVqrBjoacUbe7L6Hkn9sUJtbUg0wz36FvFXHjGLSSMUVoq939MbP4NIacys-HHF3obHN2lppkTr_B4VjgiWFvEJMeP6XgO2CgG2qBaI7lLT4cu8YdccM3Z6hwwzdMUM3oObVw6u3cYHpt-JXaAjwHah4td5Acbd5Kyt28j-uPwH726aj</recordid><startdate>20170901</startdate><enddate>20170901</enddate><creator>Inoue, Masayuki</creator><creator>Nakagomi, Hiroshi</creator><creator>Nakada, Haruka</creator><creator>Furuya, Kazushige</creator><creator>Ikegame, Kou</creator><creator>Watanabe, Hideki</creator><creator>Omata, Masao</creator><creator>Oyama, Toshio</creator><general>Springer Japan</general><general>Springer</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>7X8</scope></search><sort><creationdate>20170901</creationdate><title>Specific sites of metastases in invasive lobular carcinoma: a retrospective cohort study of metastatic breast cancer</title><author>Inoue, Masayuki ; Nakagomi, Hiroshi ; Nakada, Haruka ; Furuya, Kazushige ; Ikegame, Kou ; Watanabe, Hideki ; Omata, Masao ; Oyama, Toshio</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c501t-222353134b765ffa26094527b8ffad533a1d3c8a95bf1f15c52a73b4999640b83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Antineoplastic Agents, Hormonal - therapeutic use</topic><topic>Breast Neoplasms - drug therapy</topic><topic>Breast Neoplasms - mortality</topic><topic>Breast Neoplasms - pathology</topic><topic>Cancer</topic><topic>Cancer Research</topic><topic>Carcinoma, Ductal, Breast - drug therapy</topic><topic>Carcinoma, Ductal, Breast - mortality</topic><topic>Carcinoma, Ductal, Breast - pathology</topic><topic>Carcinoma, Ductal, Breast - secondary</topic><topic>Carcinoma, Lobular - drug therapy</topic><topic>Carcinoma, Lobular - mortality</topic><topic>Carcinoma, Lobular - pathology</topic><topic>Carcinoma, Lobular - secondary</topic><topic>Comparative analysis</topic><topic>Development and progression</topic><topic>Disease-Free Survival</topic><topic>Epidermal growth factor</topic><topic>Estrogen</topic><topic>Female</topic><topic>Follow-Up Studies</topic><topic>Hormone therapy</topic><topic>Humans</topic><topic>Lung Neoplasms - epidemiology</topic><topic>Lung Neoplasms - pathology</topic><topic>Lung Neoplasms - secondary</topic><topic>Lymphatic Metastasis</topic><topic>Medicine</topic><topic>Medicine &amp; Public Health</topic><topic>Metastasis</topic><topic>Middle Aged</topic><topic>Neoplasm Recurrence, Local - drug therapy</topic><topic>Neoplasm Recurrence, Local - mortality</topic><topic>Neoplasm Recurrence, Local - pathology</topic><topic>Oncology</topic><topic>Oncology, Experimental</topic><topic>Original Article</topic><topic>Peritoneal Neoplasms - epidemiology</topic><topic>Peritoneal Neoplasms - pathology</topic><topic>Peritoneal Neoplasms - secondary</topic><topic>Progesterone</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>Surgery</topic><topic>Surgical Oncology</topic><topic>Treatment Outcome</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Inoue, Masayuki</creatorcontrib><creatorcontrib>Nakagomi, Hiroshi</creatorcontrib><creatorcontrib>Nakada, Haruka</creatorcontrib><creatorcontrib>Furuya, Kazushige</creatorcontrib><creatorcontrib>Ikegame, Kou</creatorcontrib><creatorcontrib>Watanabe, Hideki</creatorcontrib><creatorcontrib>Omata, Masao</creatorcontrib><creatorcontrib>Oyama, Toshio</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Breast cancer (Tokyo, Japan)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Inoue, Masayuki</au><au>Nakagomi, Hiroshi</au><au>Nakada, Haruka</au><au>Furuya, Kazushige</au><au>Ikegame, Kou</au><au>Watanabe, Hideki</au><au>Omata, Masao</au><au>Oyama, Toshio</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Specific sites of metastases in invasive lobular carcinoma: a retrospective cohort study of metastatic breast cancer</atitle><jtitle>Breast cancer (Tokyo, Japan)</jtitle><stitle>Breast Cancer</stitle><addtitle>Breast Cancer</addtitle><date>2017-09-01</date><risdate>2017</risdate><volume>24</volume><issue>5</issue><spage>667</spage><epage>672</epage><pages>667-672</pages><issn>1340-6868</issn><eissn>1880-4233</eissn><abstract>Background Invasive lobular carcinoma (ILC) is known to be the second most common histological type following invasive ductal carcinoma (IDC). Definitive clinical features of ILC are controversial. Methods We retrospectively analyzed a cohort of 330 patients with metastatic breast cancer, 303 of IDC, 19 of ILC, and 8 of others. We compared the patient age and tumor–node–metastasis factors, disease-free survival (DFS), estrogen receptor (ER), progesterone receptor (PR), and human epidermal growth factor 2 (HER2) expression at the primary site between ILC and IDC. We then selected the patients in the ER + or PR + /HER2 − subtype specifically and compared sites of recurrence, and the survival curve starting from the point of development of metastatic disease. Results The clinical stage was significantly higher in the ILC patients than in the IDC ( p  = 0.001). The mean (±SD) of DFS for the ILC and IDC patients was 2.6 ± 0.6 and 2.4 ± 0.3 years, respectively, with no significant difference ( p  = 0.18). However, the hormone receptor status was same between both groups; the rate of HER2 positivity was significantly lower in the ILC group (0%) than in the IDC group (16.2%) ( p  = 0.05). In ER + or PR + /HER2 − subtype, the mean DFS for the ILC and IDC was 2.9 ± 0.6 and 3.1 ± 0.3 years, and the median survival time after the recurrence for ILC and IDC patients was 4.2 ± 0.7 and 5.6 ± 0.7 years, respectively, with no significant difference ( p  = 0.77). The frequency of lung metastases was significantly lower in the ILC group (6.3%) than in the IDC group (53.7%) ( p  &lt; 0.01), while the frequency of peritoneal metastases was significantly higher in the ILC group (68.8%) than in the IDC group (1%) ( p  = 0.00). Of note, the prognosis after the diagnosis of peritoneal metastases was poor, with a median survival time of 19 ± 9 months and resistance to hormone therapy. Conclusions The extremely high rate (68.8%) of peritoneal metastases was observed in long-term follow-up for the metastatic breast cancer patients with ILC. We need to reveal the definitive feature of ILC and develop new therapeutic strategies to prevent the dissemination of ILCs.</abstract><cop>Tokyo</cop><pub>Springer Japan</pub><pmid>28108967</pmid><doi>10.1007/s12282-017-0753-4</doi><tpages>6</tpages></addata></record>
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source MEDLINE; SpringerLink Journals - AutoHoldings
subjects Adult
Aged
Antineoplastic Agents, Hormonal - therapeutic use
Breast Neoplasms - drug therapy
Breast Neoplasms - mortality
Breast Neoplasms - pathology
Cancer
Cancer Research
Carcinoma, Ductal, Breast - drug therapy
Carcinoma, Ductal, Breast - mortality
Carcinoma, Ductal, Breast - pathology
Carcinoma, Ductal, Breast - secondary
Carcinoma, Lobular - drug therapy
Carcinoma, Lobular - mortality
Carcinoma, Lobular - pathology
Carcinoma, Lobular - secondary
Comparative analysis
Development and progression
Disease-Free Survival
Epidermal growth factor
Estrogen
Female
Follow-Up Studies
Hormone therapy
Humans
Lung Neoplasms - epidemiology
Lung Neoplasms - pathology
Lung Neoplasms - secondary
Lymphatic Metastasis
Medicine
Medicine & Public Health
Metastasis
Middle Aged
Neoplasm Recurrence, Local - drug therapy
Neoplasm Recurrence, Local - mortality
Neoplasm Recurrence, Local - pathology
Oncology
Oncology, Experimental
Original Article
Peritoneal Neoplasms - epidemiology
Peritoneal Neoplasms - pathology
Peritoneal Neoplasms - secondary
Progesterone
Prognosis
Receptor, ErbB-2 - metabolism
Receptors, Estrogen - metabolism
Receptors, Progesterone - metabolism
Retrospective Studies
Surgery
Surgical Oncology
Treatment Outcome
title Specific sites of metastases in invasive lobular carcinoma: a retrospective cohort study of metastatic breast cancer
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