Influence of tumour grade on disease survival in male breast cancer patients: a systematic review

Purpose Histological grading of tumours is a well-established biomarker used to guide treatment in female breast cancer. However, its significance in male breast cancer remains unclear. This systematic review investigates the prognostic significance of tumour grade in relation to breast cancer-speci...

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Veröffentlicht in:Breast cancer research and treatment 2024-11, Vol.208 (1), p.1-8
Hauptverfasser: Kinsey-Trotman, Stephen, Nguyen, Alain, Edwards, Suzanne, Swalling, Adam, Dasari, Pallave, Walsh, David, Ingman, Wendy V.
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container_end_page 8
container_issue 1
container_start_page 1
container_title Breast cancer research and treatment
container_volume 208
creator Kinsey-Trotman, Stephen
Nguyen, Alain
Edwards, Suzanne
Swalling, Adam
Dasari, Pallave
Walsh, David
Ingman, Wendy V.
description Purpose Histological grading of tumours is a well-established biomarker used to guide treatment in female breast cancer. However, its significance in male breast cancer remains unclear. This systematic review investigates the prognostic significance of tumour grade in relation to breast cancer-specific survival (BCSS) in male breast cancer patients undergoing surgery. Methods MEDLINE, PUBMED Central and EMBASE databases were searched to identify randomised trials and observational studies related to male breast neoplasms, tumour grading, recurrence, and survival. Results A total of fifteen observational type studies were included in the review. A significant association between tumour grade and BCSS was reported in a majority of studies. This association was most evident with regard to high-grade (grade III) compared to low grade (grade I) tumours, with a significant relationship in 4 out of 4 studies. For intermediate-grade II tumours an association was demonstrated in a minority of studies. Conclusions This study confirms an association between high-grade male breast cancers and poorer disease-specific survival, however, the significance of intermediate-grade tumours remains unclear. Further research is required to investigate the biology of male breast cancer in relation to histological grade and optimally define intermediate-grade disease.
doi_str_mv 10.1007/s10549-024-07446-z
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However, its significance in male breast cancer remains unclear. This systematic review investigates the prognostic significance of tumour grade in relation to breast cancer-specific survival (BCSS) in male breast cancer patients undergoing surgery. Methods MEDLINE, PUBMED Central and EMBASE databases were searched to identify randomised trials and observational studies related to male breast neoplasms, tumour grading, recurrence, and survival. Results A total of fifteen observational type studies were included in the review. A significant association between tumour grade and BCSS was reported in a majority of studies. This association was most evident with regard to high-grade (grade III) compared to low grade (grade I) tumours, with a significant relationship in 4 out of 4 studies. For intermediate-grade II tumours an association was demonstrated in a minority of studies. Conclusions This study confirms an association between high-grade male breast cancers and poorer disease-specific survival, however, the significance of intermediate-grade tumours remains unclear. Further research is required to investigate the biology of male breast cancer in relation to histological grade and optimally define intermediate-grade disease.</description><identifier>ISSN: 0167-6806</identifier><identifier>ISSN: 1573-7217</identifier><identifier>EISSN: 1573-7217</identifier><identifier>DOI: 10.1007/s10549-024-07446-z</identifier><identifier>PMID: 39095633</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Breast cancer ; Breast Neoplasms, Male - mortality ; Breast Neoplasms, Male - pathology ; Clinical trials ; Humans ; Male ; Medicine ; Medicine &amp; Public Health ; Mens health ; Neoplasm Grading ; Neoplasm Recurrence, Local - pathology ; Oncology ; Patients ; Prognosis ; Review ; Survival ; Systematic review ; Tumors</subject><ispartof>Breast cancer research and treatment, 2024-11, Vol.208 (1), p.1-8</ispartof><rights>The Author(s) 2024</rights><rights>2024. The Author(s).</rights><rights>The Author(s) 2024. 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However, its significance in male breast cancer remains unclear. This systematic review investigates the prognostic significance of tumour grade in relation to breast cancer-specific survival (BCSS) in male breast cancer patients undergoing surgery. Methods MEDLINE, PUBMED Central and EMBASE databases were searched to identify randomised trials and observational studies related to male breast neoplasms, tumour grading, recurrence, and survival. Results A total of fifteen observational type studies were included in the review. A significant association between tumour grade and BCSS was reported in a majority of studies. This association was most evident with regard to high-grade (grade III) compared to low grade (grade I) tumours, with a significant relationship in 4 out of 4 studies. For intermediate-grade II tumours an association was demonstrated in a minority of studies. Conclusions This study confirms an association between high-grade male breast cancers and poorer disease-specific survival, however, the significance of intermediate-grade tumours remains unclear. 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subjects Breast cancer
Breast Neoplasms, Male - mortality
Breast Neoplasms, Male - pathology
Clinical trials
Humans
Male
Medicine
Medicine & Public Health
Mens health
Neoplasm Grading
Neoplasm Recurrence, Local - pathology
Oncology
Patients
Prognosis
Review
Survival
Systematic review
Tumors
title Influence of tumour grade on disease survival in male breast cancer patients: a systematic review
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