Table 2. Relationship between breast cancer histology and tumour stage, ER/PR status, and grade among women diagnosed at 50–89 years of agea.
Ductal (n=74 798) |
Lobular (n=9387)
|
Ductal/lobular (n=7359)
|
Mucinous (n=2730)
|
Comedo (n=1372)
|
|||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Tumour characteristic | % | % | OR | 95% CI | % | OR | 95% CI | % | OR | 95% CI | % | OR | 95% CI |
Stage b | |||||||||||||
I | 53 | 44 | 1.0 | ref | 48 | 1.0 | ref | 68 | 1.0 | ref | 55 | 1.0 | ref |
II | 38 | 43 | 1.5 | 1.4–1.6† | 44 | 1.4 | 1.3–1.4† | 28 | 0.6 | 0.6–0.7† | 39 | 0.8 | 0.8–0.9† |
III/IV | 9 | 13 | 2.1 | 1.9–2.2† | 8 | 1.2 | 1.1–1.3† | 4 | 0.4 | 0.3–0.5† | 6 | 0.6 | 0.4–0.7† |
Tumour size (cm) b | |||||||||||||
<2.0 | 61 | 48 | 1.0 | ref | 56 | 1.0 | ref | 65 | 1.0 | ref | 58 | 1.0 | ref |
2.0–4.9 | 34 | 39 | 1.6 | 1.6–1.7† | 36 | 1.3 | 1.2–1.4† | 30 | 0.9 | 0.8–1.0† | 36 | 0.9 | 0.8–1.0 |
⩾5.0 | 6 | 13 | 3.5 | 3.3–3.8† | 8 | 1.7 | 1.5–1.9† | 5 | 1.0 | 0.8–1.2 | 7 | 0.9 | 0.7–1.1 |
Lymph node status b | |||||||||||||
Negative | 67 | 65 | 1.0 | ref | 62 | 1.0 | ref | 90 | 1.0 | ref | 72 | 1.0 | ref |
Positive | 33 | 36 | 1.2 | 1.1–1.2† | 38 | 1.3 | 1.2–1.3† | 10 | 0.2 | 0.2–0.3† | 28 | 0.7 | 0.6–0.8† |
ER c | |||||||||||||
ER+ | 78 | 92 | 1.0 | ref | 92 | 1.0 | ref | 96 | 1.0 | ref | 57 | 1.0 | ref |
ER− | 22 | 8 | 0.3 | 0.2–0.3† | 8 | 0.3 | 0.3–0.4† | 5 | 0.2 | 0.2–0.3† | 43 | 2.1 | 1.8–2.4† |
PR c | |||||||||||||
PR+ | 67 | 75 | 1.0 | ref | 78 | 1.0 | ref | 83 | 1.0 | ref | 49 | 1.0 | ref |
PR− | 33 | 25 | 1.1 | 1.1–1.2† | 22 | 0.9 | 0.8–0.9† | 17 | 0.8 | 0.7–0.8† | 51 | 1.3 | 1.2–1.5† |
ER/PR c | |||||||||||||
ER+/PR+ | 65 | 73 | 1.0 | ref | 77 | 1.0 | ref | 82 | 1.0 | ref | 44 | 1.0 | ref |
ER+/PR− | 13 | 20 | 1.3 | 1.2–1.3† | 15 | 1.0 | 0.9–1.0 | 13 | 0.8 | 0.7–0.9† | 13 | 1.5 | 1.3–1.8† |
ER-/PR+ | 2 | 2 | 0.7 | 0.6–0.8† | 2 | 0.7 | 0.6–0.8† | 1 | 0.3 | 0.2–0.5† | 6 | 2.8 | 2.2–3.5† |
ER−/PR− | 19 | 6 | 0.3 | 0.2–0.3† | 6 | 0.3 | 0.2–0.3† | 4 | 0.2 | 0.1–0.2† | 37 | 2.8 | 2.5–3.1† |
Grade d | |||||||||||||
1 | 18 | 23 | 1.0 | ref | 19 | 1.0 | ref | 58 | 1.0 | ref | 6 | 1.0 | ref |
2 | 44 | 53 | 0.9 | 0.8–0.9† | 53 | 1.1 | 1.1–1.2† | 35 | 0.3 | 0.2–0.3† | 35 | 2.3 | 1.7–3.1† |
3 | 36 | 21 | 0.5 | 0.4–0.5† | 26 | 0.8 | 0.7–0.9† | 6 | 0.1 | 0.1–0.1† | 50 | 3.3 | 2.5–4.5† |
4 | 2 | 3 | 1.1 | 0.9–1.3 | 2 | 1.2 | 1.0–1.5 | 1 | 0.1 | 0.04–0.2† | 9 | 9.9 | 7.0–14.1† |
Inflammatory (n=1387)
|
Tubular (n=1597)
|
Medullary (n=871)
|
Papillary (n=527)
|
|||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
% | OR | 95% CI | % | OR | 95% CI | % | OR | 95% CI | % | OR | 95% CI | |
Stage b | ||||||||||||
I | 0.1 | N/Ae | 92 | 1.0 | ref | 40 | 1.0 | ref | 57 | 1.0 | ref | |
II | 0.4 | 8 | 0.1 | 0.1–0.2† | 56 | 1.5 | 1.3–1.7† | 35 | 0.9 | 0.7–1.1 | ||
III/IV | 99 | 1 | 0.1 | 0.03–0.1† | 5 | 0.5 | 0.3–0.6† | 8 | 0.9 | 0.6–1.2 | ||
Tumour size, cm b | ||||||||||||
<2.0 | 2 | N/Ae | 95 | 1.0 | ref | 42 | 1.0 | ref | 57 | 1.0 | ref | |
2.0–4.9 | 9 | 4 | 0.1 | 0.1–0.1† | 53 | 1.6 | 1.4–1.8† | 33 | 1.1 | 0.9–1.3 | ||
⩾5.0 | 89 | 1 | 0.1 | 0.1–0.2† | 6 | 0.8 | 0.6–1.1 | 10 | 1.9 | 1.4–2.5† | ||
Lymph node status b | ||||||||||||
Negative | 9 | 1.0 | ref | 93 | 1.0 | ref | 71 | 1.0 | ref | 78 | 1.0 | ref |
Positive | 91 | 19.3 | 15.2–24.6† | 7 | 0.2 | 0.1–0.2† | 29 | 0.7 | 0.6–0.8† | 22 | 0.6 | 0.5–0.7† |
ER c | ||||||||||||
ER+ | 57 | 1.0 | ref | 95 | 1.0 | ref | 27 | 1.0 | ref | 88 | 1.0 | ref |
ER− | 43 | 1.4 | 1.2–1.7† | 5 | 0.2 | 0.2–0.3† | 73 | 4.4 | 3.6–5.3† | 12 | 0.8 | 0.6–1.1 |
PR c | ||||||||||||
PR+ | 47 | 1.0 | ref | 81 | 1.0 | ref | 22 | 1.0 | ref | 82 | 1.0 | ref |
PR− | 53 | 1.2 | 1.0–1.4† | 19 | 1.0 | 0.8–1.1 | 78 | 2.6 | 2.1–3.2† | 18 | 0.5 | 0.4–0.7† |
ER/PR c | ||||||||||||
ER+/PR+ | 42 | 1.0 | ref | 79 | 1.0 | ref | 17 | 1.0 | ref | 80 | 1.0 | ref |
ER+/PR− | 15 | 1.3 | 1.1–1.6† | 16 | 1.1 | 0.9–1.2 | 10 | 2.8 | 2.2–3.7† | 8 | 0.5 | 0.3–0.6† |
ER−/PR+ | 5 | 2.0 | 1.5–2.7† | 2 | 0.7 | 0.5–1.1 | 4 | 5.5 | 3.8–7.9† | 2 | 0.5 | 0.3–1.1 |
ER−/PR− | 38 | 1.7 | 1.5–1.9† | 3 | 0.2 | 0.1–0.2† | 68 | 11.6 | 9.6–13.9† | 10 | 0.4 | 0.3–0.6† |
Grade d | ||||||||||||
1 | 2 | 1.0 | ref | 86 | N/Ae | 0 | N/Ae | 40 | 1.0 | ref | ||
2 | 24 | 1.6 | 1.0–2.4† | 13 | 11 | 42 | 0.4 | 0.3–0.5† | ||||
3 | 68 | 2.4 | 1.6–3.6† | 1 | 78 | 17 | 0.2 | 0.1–0.3† | ||||
4 | 67 | 3.0 | 1.9–4.8† | 0 | 11 | 2 | 0.4 | 0.2–0.8† |
OR=odds ratio, CI=confidence interval, ER=oestrogen receptor, PR=progesterone receptor, N/A=not applicable.
P<0.05.
The reference histologic type for all analyses was ductal carcinoma.
ORs are adjusted for age and year at diagnosis, cancer registry, race/ethnicity, and ER/PR status. Data on tumour size missing for 710 ductal, 130 lobular, 34 ductal/lobular, 10 mucinous, eight comedo, one tubular, three medullary, 94 inflammatory, and three papillary carcinomas. Data on lymph node status missing for 8051 ductal, 1001 lobular, 565 ductal/lobular, 464 mucinous, 136 comedo, 336 tubular, 43 medullary, 587 inflammatory, and 99 papillary carcinomas.
ORs are adjusted for age and year at diagnosis, cancer registry, race/ethnicity, and stage. In addition, ORs for ER status are adjusted for PR status, and ORs for PR status are adjusted for ER status.
ORs are adjusted for age and year at diagnosis, cancer registry, race/ethnicity, stage, and ER/PR status. Data on grade missing for 5732 ductal, 4149 lobular, 984 ductal/lobular, 981 mucinous, 367 comedo, 270 tubular, 321 medullary, 223 inflammatory, and 140 papillary carcinomas.
These ORs were not calculated because almost all inflammatory carcinomas are stage III or IV and >5.0 cm in size, almost all tubular carcinomas are well differentiated, and almost all medullary carcinomas are poorly differentiated.