Table 3. Relationship between breast cancer histology and tumour stage, hormone receptor status, and grade among women diagnosed at 30–49 years of agea.
Ductal (n=27 665) |
Lobular (n=1888)
|
Ductal/lobular (n=2277)
|
Mucinous (n=518)
|
Comedo (n=850)
|
|||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Tumour characteristic | % | % | OR | 95% CI | % | OR | 95% CI | % | OR | 95% CI | % | OR | 95% CI |
Stage b | |||||||||||||
I | 40 | 36 | 1.0 | ref | 36 | 1.0 | ref | 61 | 1.0 | ref | 42 | 1.0 | ref |
II | 50 | 48 | 1.2 | 1.1–1.4† | 52 | 1.3 | 1.2–1.4† | 35 | 0.5 | 0.4–0.6† | 49 | 0.8 | 0.7–1.0† |
III/IV | 10 | 16 | 2.4 | 2.1–2.7† | 12 | 1.7 | 1.5–1.9† | 4 | 0.3 | 0.2–0.5† | 9 | 0.7 | 0.6–1.0† |
Tumour size (cm) b | |||||||||||||
<2.0 | 49 | 43 | 1.0 | ref | 48 | 1.0 | ref | 59 | 1.0 | ref | 48 | 1.0 | ref |
2.0–4.9 | 42 | 39 | 1.3 | 1.2–1.4† | 40 | 1.1 | 1.0–1.2† | 34 | 0.8 | 0.6–0.9† | 41 | 0.9 | 0.8–1.0 |
⩾5.0 | 9 | 18 | 3.4 | 2.9–3.9† | 12 | 1.8 | 1.6–2.2† | 7 | 0.8 | 0.5–1.1 | 12 | 1.2 | 0.9–1.5 |
Lymph node status b | |||||||||||||
Negative | 57 | 54 | 1.0 | ref | 48 | 1.0 | ref | 85 | 1.0 | ref | 60 | 1.0 | ref |
Positive | 43 | 46 | 1.2 | 1.1–1.3† | 52 | 1.4 | 1.3–1.6† | 15 | 0.2 | 0.2–0.3† | 40 | 0.8 | 0.7–1.0† |
ER c | |||||||||||||
ER+ | 66 | 89 | 1.0 | ref | 87 | 1.0 | ref | 91 | 1.0 | ref | 56 | 1.0 | ref |
ER− | 34 | 11 | 0.4 | 0.3–0.5† | 13 | 0.4 | 0.4–0.5† | 9 | 0.2 | 0.1–0.3† | 44 | 1.2 | 1.0–1.5 |
PR c | |||||||||||||
PR+ | 63 | 85 | 1.0 | ref | 83 | 1.0 | ref | 81 | 1.0 | ref | 54 | 1.0 | ref |
PR− | 38 | 15 | 0.5 | 0.5–0.6† | 17 | 0.6 | 0.5–0.7† | 19 | 1.1 | 0.8–1.4 | 46 | 1.3 | 1.0–1.5† |
ER/PR c | |||||||||||||
ER+/PR+ | 58 | 81 | 1.0 | ref | 80 | 1.0 | ref | 79 | 1.0 | ref | 46 | 1.0 | ref |
ER+/PR− | 8 | 8 | 0.7 | 0.6–0.8† | 8 | 0.6 | 0.5–0.8† | 12 | 1.1 | 0.9–1.5 | 11 | 1.6 | 1.2–2.0† |
ER−/PR+ | 5 | 4 | 0.6 | 0.5–0.8† | 3 | 0.5 | 0.4–0.7† | 2 | 0.3 | 0.2–0.6† | 8 | 1.6 | 1.2–2.1† |
ER−/PR− | 29 | 7 | 0.2 | 0.1–0.2† | 10 | 0.2 | 0.2–0.3† | 7 | 0.2 | 0.1–0.3† | 36 | 1.5 | 1.3–1.7† |
Grade d | |||||||||||||
1 | 10 | 19 | 1.0 | ref | 14 | 1.0 | ref | 45 | 1.0 | ref | 4 | 1.0 | ref |
2 | 37 | 55 | 0.8 | 0.7–0.9† | 51 | 1.0 | 0.9–1.1 | 41 | 0.3 | 0.2–0.4† | 28 | 1.7 | 1.1–2.6† |
3 | 50 | 22 | 0.3 | 0.3–0.4† | 32 | 0.6 | 0.5–0.7† | 13 | 0.1 | 0.1–0.1† | 57 | 2.5 | 1.7–3.8† |
4 | 3 | 3 | 0.7 | 0.5–1.0 | 3 | 0.9 | 0.7–1.2 | 1 | 0.1 | 0.03–0.3† | 11 | 7.2 | 4.5–11.7† |
Inflammatory (n=708)
|
Tubular (n=386)
|
Medullary (n=746)
|
Papillary (n=91)
|
|||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
% | OR | 95% CI | % | OR | 95% CI | % | OR | 95% CI | % | OR | 95% CI | |
Stage b | ||||||||||||
I | 0 | N/Ae | 87 | 1.0 | ref | 33 | 1.0 | ref | 42 | 1.0 | ref | |
II | 1 | 12 | 0.1 | 0.1–0.2† | 62 | 1.1 | 0.9–1.3 | 50 | 0.9 | 0.6–1.5 | ||
III/IV | 99 | 1 | 0.03 | 0.01–0.1† | 4 | 0.3 | 0.2–0.5† | 9 | 0.8 | 0.4–1.8 | ||
Tumour size (cm) b | ||||||||||||
<2.0 | 2 | N/Ae | 92 | 1.0 | ref | 34 | 1.0 | ref | 52 | ref | ||
2.0–4.9 | 7 | 7 | 0.1 | 0.1–0.2† | 60 | 1.4 | 1.2–1.7† | 36 | 0.8 | |||
⩾5.0 | 91 | 1 | 0.1 | 0.03–0.2† | 6 | 0.6 | 0.4–0.8† | 12 | 1.4 | |||
Lymph node status b | ||||||||||||
Negative | 9 | 1.0 | ref | 91 | 1.0 | ref | 69 | 1.0 | ref | 59 | 1.0 | ref |
Positive | 91 | 12.7 | 9.0–17.8† | 9 | 0.1 | 0.1–0.2† | 31 | 0.6 | 0.5–0.7† | 41 | 0.9 | 0.6–1.4 |
ER c | ||||||||||||
ER+ | 43 | 1.0 | ref | 93 | 1.0 | ref | 14 | 1.0 | ref | 77 | 1.0 | ref |
ER− | 57 | 1.7 | 1.4–2.2† | 8 | 0.2 | 0.2–0.4† | 86 | 5.8 | 4.4–7.6† | 23 | 0.7 | 0.4–1.4 |
PR c | ||||||||||||
PR+ | 41 | 1.0 | ref | 85 | 1.0 | ref | 16 | 1.0 | ref | 75 | 1.0 | ref |
PR− | 60 | 1.1 | 0.9–1.4 | 15 | 0.8 | 0.6–1.1 | 84 | 2.5 | 2.0–3.2† | 25 | 0.7 | 0.4–1.3 |
ER/PR c | ||||||||||||
ER+/PR+ | 34 | 1.0 | ref | 82 | 1.0 | ref | 10 | 1.0 | ref | 70 | 1.0 | ref |
ER+/PR− | 9 | 1.2 | 0.9–1.6 | 10 | 1.0 | 0.7–1.4 | 4 | 3.2 | 2.1–4.8† | 7 | 0.6 | 0.3–1.5 |
ER-/PR+ | 7 | 1.9 | 1.3–2.7† | 3 | 0.5 | 0.3–1.0† | 7 | 7.1 | 4.9–10.3† | 4 | 0.7 | 0.2–1.9 |
ER−/PR− | 50 | 1.9 | 1.6–2.3† | 5 | 0.2 | 0.1–0.3† | 80 | 15.3 | 11.9–19.6† | 19 | 0.5 | 0.3–0.9† |
Grade d | ||||||||||||
1 | 1 | 1.0 | ref | 87 | N/Ae | 1 | N/Ae | 22 | 1.0 | ref | ||
2 | 20 | 2.2 | 1.0–4.9† | 12 | 6 | 49 | 0.6 | 0.3–1.1 | ||||
3 | 72 | 2.7 | 1.3–5.9† | 1 | 81 | 23 | 0.2 | 0.1–0.5† | ||||
4 | 6 | 2.8 | 1.2–6.7† | 0 | 1 | 6 | 0.9 | 0.3–2.9 |
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 209 ductal, 24 lobular, 17 ductal/lobular, three mucinous, five comedo, 36 inflammatory, and one papillary carcinomas. Data on lymph node status missing for 1242 ductal, 118 lobular, 87 ductal/lobular, 28 mucinous, 54 comedo, 26 tubular, 17 medullary, 304 inflammatory, and six 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 1732 ductal, 794 lobular, 289 ductal/lobular, 198 mucinous, 215 comedo, 75 tubular, 251 medullary, 102 inflammatory, and 22 papillary carcinomas.
These ORs were not calculated because almost all inflammatory carcinomas are stage III or IV and greater than 5.0 cm in size, almost all tubular carcinomas are well differentiated, and almost all medullary carcinomas are poorly differentiated.