Should breast surgery be considered for patients with de novo metastatic inflammatory breast cancer?
Am J Surg
; 233: 52-60, 2024 Jul.
Article
in En
| MEDLINE
| ID: mdl-38458830
ABSTRACT
INTRODUCTION:
We aimed to identify factors predicting surgery for de novo stage IV inflammatory breast cancer (IBC) and determine the association of surgery with overall survival (OS).METHODS:
Female patients with unilateral AJCC clinical stage IV IBC treated 2010-2018 in the NCDB were identified. Logistic regression and multivariable proportional Cox hazards regressions determined factors associated with treatment and OS.RESULTS:
Of 1049 patients, 29.1% underwent breast surgery (BS) and 70.9% had no surgery (NS). Increasing age and more recent treatment year were significantly associated with NS. 2-Year OS was superior in BS patients (71% vs 38% NS). Single-site and bone-only metastasis had no association with treatment type or OS.CONCLUSION:
Contrary to guidelines, 1/3 of de novo stage IV IBC patients underwent BS, and had an independent OS benefit irrespective of extent or site of metastasis. Further research is needed to determine which patients with stage IV IBC should undergo BS.Key words
Full text:
1
Collection:
01-internacional
Database:
MEDLINE
Main subject:
Inflammatory Breast Neoplasms
/
Mastectomy
/
Neoplasm Staging
Limits:
Adult
/
Aged
/
Female
/
Humans
/
Middle aged
Language:
En
Journal:
Am J Surg
Year:
2024
Document type:
Article
Affiliation country:
United States
Country of publication:
United States