Table 1.
Factor | Surgery First (n=2331) |
Neoadjuvant Chemotherapy (n=652) |
P value |
---|---|---|---|
| |||
Age | |||
Median | 55 | 50 | < 0.001 |
Range | 22 – 89 | 25 - 84 | |
| |||
Histology | |||
IDC | 2033 (87%) | 617 (95%) | <0.001 |
ILC | 169 (7%) | 19 (3%) | |
Mixed | 129 (6%) | 16 (2%) | |
| |||
Clinical Stage | |||
0 | 31* (1%) | 0 (0%) | <0.001 |
I | 1823 (78%) | 45 (7%) | |
II | 459 (20%) | 451 (69%) | |
III | 18 (1%) | 156 (24%) | |
| |||
Nuclear grade | |||
1 | 266 (11%) | 16 (2%) | <0.001 |
2 | 1244 (53%) | 196 (30%) | |
3 | 785 (34%) | 431 (66%) | |
Not reported | 36 (2%) | 9 (1%) | |
| |||
ER | |||
Positive | 1665 (71%) | 331 (51%) | <0.001 |
Negative | 552 (24%) | 311 (48%) | |
Unknown | 114 (5%) | 10 (1%) | |
| |||
PR | |||
Positive | 1364 (59%) | 292 (45%) | <0.001 |
Negative | 802 (34%) | 347 (53%) | |
Unknown | 165 (7%) | 13 (2%) | |
| |||
HER2 | |||
Positive | 122 (5%) | 114 (17%) | <0.001 |
Negative | 1216 (52%) | 402 (62%) | |
Unknown | 993 (43%) | 136 (21%) | |
| |||
LVI | |||
Present | 348 (15%) | 103 (16%) | 0.584 |
Absent/Unknown | 1983 (85%) | 549 (84%) | |
| |||
Multifocal disease | |||
Yes | 155 (7%) | 64 (10%) | 0.006 |
No | 2176 (93%) | 588 (90%) | |
| |||
Margin Status | |||
Negative | 2239 (96%) | 621 (95%) | 0.144 |
Close (<2mm) | 63 (3%) | 26 (4%) | |
Positive | 29 (1%) | 5 (1%) | |
| |||
Pathologic Stage | |||
0 | 0 (0%) | 131 (20%) | <0.001 |
I | 1540 (66%) | 217 (33%) | |
II | 702 (30%) | 251 (38%) | |
III | 89 (4%) | 53 (9%) | |
| |||
Adjuvant | |||
Chemotherapy | |||
Yes | 980 (42%) | NA | NA |
No | 1348 (58%) | ||
Unknown | 4 (<1%) | ||
| |||
Endocrine Therapy§ | |||
Yes | 1293 (78%) | 294 (89%) | <0.001 |
No | 372 (22%) | 37 (11%) |
Abbreviations: IDC, invasive ductal carcinoma; ILC, invasive lobular carcinoma; Mixed, invasive ductal and lobular carcinoma; ER, estrogen receptor; PR, progesterone receptor; HER2, HER2/neu; LVI, lymphovascular invasion
31 patients who underwent surgery first had a biopsy diagnosis of ductal carcinoma in situ but were found to have invasive disease on final pathologic evaluation.
Administration of endocrine therapy was determined only for patients with ER-positive disease