Validation of a prognostic scoring system for postmastectomy locoregional recurrence in breast cancer

Autor: Aline Van der Vorst, Isabelle Kindts, Annouschka Laenen, Patrick Neven, Hilde Janssen, Caroline Weltens
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Breast, Vol 64, Iss , Pp 29-34 (2022)
Druh dokumentu: article
ISSN: 1532-3080
DOI: 10.1016/j.breast.2022.04.007
Popis: Background: To date, it remains unclear which patients with breast cancer (BC) benefit from post-mastectomy radiotherapy (PMRT). Cheng et al. developed and validated a scoring system based on 4 prognostic factors for locoregional recurrence (LRR) to identify patients in need for PMRT. These factors include age, estrogen receptor status, lymphovascular status and number of affected axillary lymph nodes. Purpose: To validate the scoring system for LRR in BC developed by Cheng et al. by using an independent BC database. Methods and materials: We retrospectively identified 1989 BC cases, treated with mastectomy (ME) with or without PMRT at the University Hospitals Leuven between 2000 and 2007. The primary endpoint was 5-year locoregional control rate with and without PMRT, according to the LRR score. Results: Median follow-up time was 11.4 years. After excluding patients with missing variables 1103 patients were classified using the LRR scoring system: 688 (62.38%) patients were at low risk of recurrence (LRR score 0–1), 335 (30.37%) patients were at intermediate risk of recurrence (LRR score 2–3) and 80 (7.25%) patients were at high risk of recurrence (LRR score ≥4). 5-year locoregional control rates with and without PMRT were 99.20% versus 99.21% (p = 0.43) in the low-risk group; 98.24% versus 85.74% (p
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