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Saudi Med J ; 38(2): 156-162, 2017 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-28133688

RESUMEN

OBJECTIVES: To analyze the relationship between clinical features, hormonal receptor status, and survival in patients who were diagnosed with medullary breast cancer (MBC). Methods: Demographic characteristics, histopathological features, and survival statuses of 201 patients diagnosed with MBC between 1995 and 2015 were retrospectively recorded. Survival analyses were conducted with uni- and multivariate cox regression analysis. RESULTS: Median follow-up time was 54 (4-272) months. Median patient age at the time of diagnosis was 47 years old (26-90). Of the patients, 91.5% were triple negative. Five-year recurrence free survival time (RFS) rate was 87.4% and overalll survival (OS) rate 95.7%. For RFS, progesterone receptor (PR) negativity, atypical histopathological evaluation, absence of lymphovascular invasion, smaller tumor, lower nodal involvement were found to be favourable prognostic factors by univariate analysis (p less than 0.05). The PR negativity and smaller tumor were found to be favourable factors by univariate analysis (p less than 0.05). However, none of these factors were determined as significant independent prognostic factors for OS (p greater than 0.05).  Conclusion: Turkish MBC patients exhibited good prognosis, which was comparable with survival outcomes achieved in the literature. The PR negativity was related to a better RFS and OS rates.


Asunto(s)
Neoplasias de la Mama/mortalidad , Carcinoma Medular/mortalidad , Receptores de Progesterona/análisis , Adulto , Anciano , Anciano de 80 o más Años , Mama/patología , Neoplasias de la Mama/química , Neoplasias de la Mama/patología , Carcinoma Medular/química , Carcinoma Medular/patología , Femenino , Humanos , Persona de Mediana Edad , Receptores de Estrógenos/análisis , Estudios Retrospectivos , Análisis de Supervivencia , Turquía/epidemiología
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