Postmastectomy radiotherapy in patients with T 1-2 N 1 breast cancer: a single center experience and a meta-analysis

Postmastectomy radiotherapy (PMRT) in patients with T N breast cancer is still controversial. This study was to evaluate the survival prognosis of T N patients with or without PMRT. From January 2006 to May 2017, 2606 female breast cancer patients underwent mastectomy in our medical center, among wh...

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Veröffentlicht in:Journal of cancer research and clinical oncology 2023-09, Vol.149 (12), p.9979
Hauptverfasser: Luo, Meng, Jin, Yao, Xu, Chunjing, Chen, Huihui, Zhang, Kun, Chen, Qiang, Jin, Chencan, Lu, Jinglu, Wang, Jing, Huang, Jia, Deng, Hao, Jin, Weili, Zheng, Shu, Chen, Yiding, Zhou, Jiaojiao
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container_issue 12
container_start_page 9979
container_title Journal of cancer research and clinical oncology
container_volume 149
creator Luo, Meng
Jin, Yao
Xu, Chunjing
Chen, Huihui
Zhang, Kun
Chen, Qiang
Jin, Chencan
Lu, Jinglu
Wang, Jing
Huang, Jia
Deng, Hao
Jin, Weili
Zheng, Shu
Chen, Yiding
Zhou, Jiaojiao
description Postmastectomy radiotherapy (PMRT) in patients with T N breast cancer is still controversial. This study was to evaluate the survival prognosis of T N patients with or without PMRT. From January 2006 to May 2017, 2606 female breast cancer patients underwent mastectomy in our medical center, among whom 402 patients of T N stage with or without PMRT were finally analyzed. The median follow-up duration was 59.5 months. The primary endpoint was overall survival (OS). The secondary endpoint was disease-free survival (DFS). In the study of our center, no statistically significant difference was observed between the T N PMRT and non-PMRT subgroups for the 5-year OS (94.4% vs 95.4%, p = 0.667) and DFS (90.1% vs. 91.1%, p = 0.798). By the date of the last follow-up, 8.96% (n = 36) of the patients experienced any recurrence. Univariate analysis revealed that PMRT was not a prognostic factor for either OS (p = 0.667) or DFS (p = 0.798) in T N patients. We then did a meta-analysis on the current treatment patterns, in which 2606 PMRT and 4281 non-PMRT T N breast cancer patients with mastectomy were included. The meta-analysis showed that PMRT didn't improve the OS of the patients (HR = 0.85, p = 0.11), but patients with PMRT had better DFS than those in the non-PMRT group (HR = 0.62, p 
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This study was to evaluate the survival prognosis of T N patients with or without PMRT. From January 2006 to May 2017, 2606 female breast cancer patients underwent mastectomy in our medical center, among whom 402 patients of T N stage with or without PMRT were finally analyzed. The median follow-up duration was 59.5 months. The primary endpoint was overall survival (OS). The secondary endpoint was disease-free survival (DFS). In the study of our center, no statistically significant difference was observed between the T N PMRT and non-PMRT subgroups for the 5-year OS (94.4% vs 95.4%, p = 0.667) and DFS (90.1% vs. 91.1%, p = 0.798). By the date of the last follow-up, 8.96% (n = 36) of the patients experienced any recurrence. Univariate analysis revealed that PMRT was not a prognostic factor for either OS (p = 0.667) or DFS (p = 0.798) in T N patients. We then did a meta-analysis on the current treatment patterns, in which 2606 PMRT and 4281 non-PMRT T N breast cancer patients with mastectomy were included. The meta-analysis showed that PMRT didn't improve the OS of the patients (HR = 0.85, p = 0.11), but patients with PMRT had better DFS than those in the non-PMRT group (HR = 0.62, p &lt; 0.001). PMRT did not affect the survival of T N breast cancer patients who underwent mastectomy, suggesting that radiotherapy may be safely omitted for them.</description><identifier>EISSN: 1432-1335</identifier><identifier>PMID: 37256383</identifier><language>eng</language><publisher>Germany</publisher><ispartof>Journal of cancer research and clinical oncology, 2023-09, Vol.149 (12), p.9979</ispartof><rights>2023. 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This study was to evaluate the survival prognosis of T N patients with or without PMRT. From January 2006 to May 2017, 2606 female breast cancer patients underwent mastectomy in our medical center, among whom 402 patients of T N stage with or without PMRT were finally analyzed. The median follow-up duration was 59.5 months. The primary endpoint was overall survival (OS). The secondary endpoint was disease-free survival (DFS). In the study of our center, no statistically significant difference was observed between the T N PMRT and non-PMRT subgroups for the 5-year OS (94.4% vs 95.4%, p = 0.667) and DFS (90.1% vs. 91.1%, p = 0.798). By the date of the last follow-up, 8.96% (n = 36) of the patients experienced any recurrence. Univariate analysis revealed that PMRT was not a prognostic factor for either OS (p = 0.667) or DFS (p = 0.798) in T N patients. We then did a meta-analysis on the current treatment patterns, in which 2606 PMRT and 4281 non-PMRT T N breast cancer patients with mastectomy were included. The meta-analysis showed that PMRT didn't improve the OS of the patients (HR = 0.85, p = 0.11), but patients with PMRT had better DFS than those in the non-PMRT group (HR = 0.62, p &lt; 0.001). PMRT did not affect the survival of T N breast cancer patients who underwent mastectomy, suggesting that radiotherapy may be safely omitted for them.</abstract><cop>Germany</cop><pmid>37256383</pmid></addata></record>
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title Postmastectomy radiotherapy in patients with T 1-2 N 1 breast cancer: a single center experience and a meta-analysis
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