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Age exerts a continuous effect in the outcomes of Asian breast cancer patients treated with breast-conserving therapy

引用

cancer Communications 2018年第1期38卷 410-420页

作者： Fuh Yong Wong Wei Ying Tham Wen Long Nei Cindy Lim Hui Miao Division of Radiation Oncology National Cancer Centre Singapore11 Hospital DriveSingapore 169610Singapore Saw Swee Hock School of Public Health National University of SingaporeSingaporeSingapore

Background:Asians are diagnosed with breast cancer at a younger age than Caucasians *** studied the effect of age on locoregional recurrence and the survival of Asian breast cancer patients treated with breast-conserving ***:Medical records of 2492 patients treated with breast-conserving therapy between 1989 and 2012 were *** Kaplan-Meier method was used to estimate locoregional recurrence,breast cancer-free survival,and breast cancer-specific survival *** rates were then compared using log-rank *** and age were modeled by Cox proportional *** polynomials were then used to test for non-linear relationships between age and ***:Patients≤40 years old were more likely to have locoregional recurrence than were older patients(Hazard ratio[HR]=2.32,Pbreast cancers,compared with 8%for those with triple-negative ***,breast cancer-free survival rates increased year-on-year by 4%versus 8%for luminal-type and triple-negative cancers,*** cancer-spe-cific survival rates increased with age by 5%*** breast cancer-free survival and breast cancer-specific survival rates in patients with luminal cancers exhibited a non-linear(“L-shaped”)relationship-where decreasing age at presentation was associated with escalating risks of relapse and *** influence of age on overall survival was confounded by competing non-cancer deaths in older women,resulting in a“U-shaped”***:Young Asian breast cancer patients have a continuous year-on-year increase in rates of disease relapse and cancer deaths compared with older patients with no apparent threshold.

关键词： breast cancer breast-conserving therapy Locoregional recurrence breast cancer-specific survival breast cancer-free survival Younger age

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