Cargando…
Comparison of Overall Survival Between Invasive Lobular Breast Carcinoma and Invasive Ductal Breast Carcinoma: A Propensity Score Matching Study Based on SEER Database
OBJECTIVE: Invasive lobular carcinoma (ILC) and invasive ductal carcinoma (IDC) account for most breast cancers. However, the overall survival (OS) differences between ILC and IDC remain controversial. This study aimed to compare nonmetastatic ILC to IDC in terms of survival and prognostic factors f...
Autores principales: | , , , , , , , , , , |
---|---|
Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Frontiers Media S.A.
2020
|
Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7783385/ https://www.ncbi.nlm.nih.gov/pubmed/33415073 http://dx.doi.org/10.3389/fonc.2020.590643 |
_version_ | 1783632102056525824 |
---|---|
author | Yang, Ciqiu Lei, Chuqian Zhang, Yi Zhang, Junsheng Ji, Fei Pan, Weijun Zhang, Liulu Gao, Hongfei Yang, Mei Li, Jieqing Wang, Kun |
author_facet | Yang, Ciqiu Lei, Chuqian Zhang, Yi Zhang, Junsheng Ji, Fei Pan, Weijun Zhang, Liulu Gao, Hongfei Yang, Mei Li, Jieqing Wang, Kun |
author_sort | Yang, Ciqiu |
collection | PubMed |
description | OBJECTIVE: Invasive lobular carcinoma (ILC) and invasive ductal carcinoma (IDC) account for most breast cancers. However, the overall survival (OS) differences between ILC and IDC remain controversial. This study aimed to compare nonmetastatic ILC to IDC in terms of survival and prognostic factors for ILC. METHODS: This retrospective cohort study used data from the Surveillance, Epidemiology and End Results (SEER) Cancer Database (www.seer.cancer.gov). Women diagnosed with nonmetastatic ILC and IDC between 2006 and 2016 were included. A propensity score matching (PSM) method was used in our analysis to reduce baseline differences in clinicopathological characteristics and survival outcomes. Kaplan-Meier curves and log-rank test were used for survival analysis. RESULTS: Compared to IDC patients, ILC patients were diagnosed later in life with poorly differentiated and larger lesions, as well as increased expression of estrogen receptors (ERs) and/or progesterone receptors (PRs). A lower rate of radiation therapy and chemotherapy was observed in ILC. After PSM, ILC, and IDC patients exhibited similar OS (HR=1.017, p=0.409, 95% CI: 0.967–1.069). In subgroup analysis of HR-negative, AJCC stage III, N2/N3 stage patients, or those who received radiotherapy, ILC patients exhibited worse OS compared to IDC patients. Furthermore, multivariate analysis revealed a 47% survival benefit for IDC compared to ILC in HR-negative patients who received chemotherapy (HR=1.47, p=0.01, 95% CI: 1.09–1.97). CONCLUSIONS: Our results demonstrated that ILC and IDC patients had similar OS after PSM. However, ILC patients with high risk indicators had worse OS compared to IDC patients by subgroup analysis. |
format | Online Article Text |
id | pubmed-7783385 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Frontiers Media S.A. |
record_format | MEDLINE/PubMed |
spelling | pubmed-77833852021-01-06 Comparison of Overall Survival Between Invasive Lobular Breast Carcinoma and Invasive Ductal Breast Carcinoma: A Propensity Score Matching Study Based on SEER Database Yang, Ciqiu Lei, Chuqian Zhang, Yi Zhang, Junsheng Ji, Fei Pan, Weijun Zhang, Liulu Gao, Hongfei Yang, Mei Li, Jieqing Wang, Kun Front Oncol Oncology OBJECTIVE: Invasive lobular carcinoma (ILC) and invasive ductal carcinoma (IDC) account for most breast cancers. However, the overall survival (OS) differences between ILC and IDC remain controversial. This study aimed to compare nonmetastatic ILC to IDC in terms of survival and prognostic factors for ILC. METHODS: This retrospective cohort study used data from the Surveillance, Epidemiology and End Results (SEER) Cancer Database (www.seer.cancer.gov). Women diagnosed with nonmetastatic ILC and IDC between 2006 and 2016 were included. A propensity score matching (PSM) method was used in our analysis to reduce baseline differences in clinicopathological characteristics and survival outcomes. Kaplan-Meier curves and log-rank test were used for survival analysis. RESULTS: Compared to IDC patients, ILC patients were diagnosed later in life with poorly differentiated and larger lesions, as well as increased expression of estrogen receptors (ERs) and/or progesterone receptors (PRs). A lower rate of radiation therapy and chemotherapy was observed in ILC. After PSM, ILC, and IDC patients exhibited similar OS (HR=1.017, p=0.409, 95% CI: 0.967–1.069). In subgroup analysis of HR-negative, AJCC stage III, N2/N3 stage patients, or those who received radiotherapy, ILC patients exhibited worse OS compared to IDC patients. Furthermore, multivariate analysis revealed a 47% survival benefit for IDC compared to ILC in HR-negative patients who received chemotherapy (HR=1.47, p=0.01, 95% CI: 1.09–1.97). CONCLUSIONS: Our results demonstrated that ILC and IDC patients had similar OS after PSM. However, ILC patients with high risk indicators had worse OS compared to IDC patients by subgroup analysis. Frontiers Media S.A. 2020-12-22 /pmc/articles/PMC7783385/ /pubmed/33415073 http://dx.doi.org/10.3389/fonc.2020.590643 Text en Copyright © 2020 Yang, Lei, Zhang, Zhang, Ji, Pan, Zhang, Gao, Yang, Li and Wang http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
spellingShingle | Oncology Yang, Ciqiu Lei, Chuqian Zhang, Yi Zhang, Junsheng Ji, Fei Pan, Weijun Zhang, Liulu Gao, Hongfei Yang, Mei Li, Jieqing Wang, Kun Comparison of Overall Survival Between Invasive Lobular Breast Carcinoma and Invasive Ductal Breast Carcinoma: A Propensity Score Matching Study Based on SEER Database |
title | Comparison of Overall Survival Between Invasive Lobular Breast Carcinoma and Invasive Ductal Breast Carcinoma: A Propensity Score Matching Study Based on SEER Database |
title_full | Comparison of Overall Survival Between Invasive Lobular Breast Carcinoma and Invasive Ductal Breast Carcinoma: A Propensity Score Matching Study Based on SEER Database |
title_fullStr | Comparison of Overall Survival Between Invasive Lobular Breast Carcinoma and Invasive Ductal Breast Carcinoma: A Propensity Score Matching Study Based on SEER Database |
title_full_unstemmed | Comparison of Overall Survival Between Invasive Lobular Breast Carcinoma and Invasive Ductal Breast Carcinoma: A Propensity Score Matching Study Based on SEER Database |
title_short | Comparison of Overall Survival Between Invasive Lobular Breast Carcinoma and Invasive Ductal Breast Carcinoma: A Propensity Score Matching Study Based on SEER Database |
title_sort | comparison of overall survival between invasive lobular breast carcinoma and invasive ductal breast carcinoma: a propensity score matching study based on seer database |
topic | Oncology |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7783385/ https://www.ncbi.nlm.nih.gov/pubmed/33415073 http://dx.doi.org/10.3389/fonc.2020.590643 |
work_keys_str_mv | AT yangciqiu comparisonofoverallsurvivalbetweeninvasivelobularbreastcarcinomaandinvasiveductalbreastcarcinomaapropensityscorematchingstudybasedonseerdatabase AT leichuqian comparisonofoverallsurvivalbetweeninvasivelobularbreastcarcinomaandinvasiveductalbreastcarcinomaapropensityscorematchingstudybasedonseerdatabase AT zhangyi comparisonofoverallsurvivalbetweeninvasivelobularbreastcarcinomaandinvasiveductalbreastcarcinomaapropensityscorematchingstudybasedonseerdatabase AT zhangjunsheng comparisonofoverallsurvivalbetweeninvasivelobularbreastcarcinomaandinvasiveductalbreastcarcinomaapropensityscorematchingstudybasedonseerdatabase AT jifei comparisonofoverallsurvivalbetweeninvasivelobularbreastcarcinomaandinvasiveductalbreastcarcinomaapropensityscorematchingstudybasedonseerdatabase AT panweijun comparisonofoverallsurvivalbetweeninvasivelobularbreastcarcinomaandinvasiveductalbreastcarcinomaapropensityscorematchingstudybasedonseerdatabase AT zhangliulu comparisonofoverallsurvivalbetweeninvasivelobularbreastcarcinomaandinvasiveductalbreastcarcinomaapropensityscorematchingstudybasedonseerdatabase AT gaohongfei comparisonofoverallsurvivalbetweeninvasivelobularbreastcarcinomaandinvasiveductalbreastcarcinomaapropensityscorematchingstudybasedonseerdatabase AT yangmei comparisonofoverallsurvivalbetweeninvasivelobularbreastcarcinomaandinvasiveductalbreastcarcinomaapropensityscorematchingstudybasedonseerdatabase AT lijieqing comparisonofoverallsurvivalbetweeninvasivelobularbreastcarcinomaandinvasiveductalbreastcarcinomaapropensityscorematchingstudybasedonseerdatabase AT wangkun comparisonofoverallsurvivalbetweeninvasivelobularbreastcarcinomaandinvasiveductalbreastcarcinomaapropensityscorematchingstudybasedonseerdatabase |