TABLE 2.
Local regional recurrence and development of contralateral breast cancer according to age and treatment stratificationa
Characteristic | Patient age
|
P
|
||||
---|---|---|---|---|---|---|
<40 Years | 40–70 Years | >70 Years | All groups | <40 versus ≥40 Years | ≤70 versus >70 Years | |
LRR, n (%) | ||||||
Total | 6 (10.7) | 34 (3.4) | 3 (2.1) | 0.016 | 0.005 | 0.390b |
DCIS | 6 (100.0) | 20 (58.8) | 1 (33.3) | |||
Invasive | 0 (0) | 14 (41.2) | 2 (66.7) | 0.086 | 0.005 | 0.390 |
5 years LRR rate | ||||||
Mastectomy (n = 821) | 0 % | 1.3 % | 0 % | 0.504 | 0.427 | 0.434b |
BCS with radiotherapy, all patients (n = 977) | 6.4 % | 2.1 % | 2.6 % | 0.324 | 0.143 | 0.701b |
BCS with radiotherapy, margins ≥2 mm (n = 877) | 7.0 % | 2.0 % | 3.2 % | 0.185 | 0.067 | 0.986b |
BCS without radiotherapy (n = 239) | 22.9 % | 8.0 % | 3.1 % | 0.014 | 0.006 | 0.235b |
BCS without radiotherapy or tamoxifen (n = 174) | 25.9 % | 9.2 % | 0 % | 0.005 | 0.003 | 0.095b |
BCS with radiotherapy without tamoxifen (n = 521) | 5.0 % | 3.1 % | 4.0 % | 0.639 | 0.882 | 0.359b |
BCS with radiotherapy with tamoxifen (n = 456) | 8.3 % | 1.0 % | 0 % | 0.002 | <0.001 | 0.479b |
Development of contralateral breast cancer, n (%)c | ||||||
Total | 4 (4.4) | 56 (4.0) | 7 (3.8) | 0.995 | 0.926 | 0.988b |
DCIS | 4 (100.0) | 24 (42.9) | 4 (57.1) | |||
Invasive | 0 (0) | 32 (57.1) | 3 (42.9) | 0.076 | 0.031 | 0.600 |
5 years rate of development of contralateral breast cancerc | ||||||
Overall | 2.2 % | 3.5 % | 4.0 % | 0.995 | 0.926 | 0.988b |
In patients receiving tamoxifen (n = 611) | 4.6 % | 2.9 % | 2.3 % | 0.540 | 0.808 | 0.273b |
In patients not receiving tamoxifen (n = 1068) | 1.4 % | 3.9 % | 5.7 % | 0.931 | 0.788 | 0.772b |
LRR locoregional recurrence, DCIS ductal carcinoma-in-situ, BCS breast-conserving surgery
P values are from the chi-square test unless otherwise indicated
Calculated by the Kaplan–Meier method and differences compared by the log-rank test
Excludes patients who had contralateral prophylactic mastectomy, bilateral breast cancer at diagnosis, and history of contralateral breast cancer