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. Author manuscript; available in PMC: 2022 Jan 1.
Published in final edited form as: Ann Surg Oncol. 2020 Jun 8;28(1):287–294. doi: 10.1245/s10434-020-08593-5

TABLE 2.

Predictors of conversion to BCS-eligibility with NAC

Characteristic Overall n = 600 Post-NAC BCS candidate Univariable Multivariable
No n = 150 Yes n = 450 p value Odds ratio 95% Cl p value
Age at diagnosis, median, years (range) 49 (25,87) 49 (27,87) 49 (25,82) 0.3 -- --
Clinical tumor size, median, cm (range)# 4.0 cm (0.9,12) 5.0 cm (0.9,12) 4.0 cm (1.0,12) <0.001 0.86 0.78–0.95 0.003
Pre-NAC BCS candidate <0.001 0.003
Borderline 188 24 (13%) 164 (87%) Ref
No 412 126 (31%) 286 (69%) 0.46 0.27–0.76
Clinical T stage <0.001 -- --
T1 37 8 (22%) 29 (78%)
T2 393 81 (21%) 312(79%)
T3 170 61 (36%) 109 (64%)
Clinical nodal status <0.001 0.008
cN0 225 36 (16%) 189 (84%) Ref
cN+ 375 114(30%) 261 (70%) 0.54 0.34–0.84
Pre-NAC calcifications <0.001 0.007
No 413 83 (20%) 330 (80%) Ref
Yes 187 67 (36%) 120 (64%) 0.56 0.36–0.85
Receptor Status <0.001
HR+/HER2− 196 74 (38%) 122 (62%) Ref
HER2+ 227 47 (21%) 180 (79%) 1.63 1.01–2.65 0.047
HR-/HER2− 177 29 (16%) 148 (84%) 2.26 1.33–3.91 0.003
Differentiation 0.009 -- --
Well 7 4 (57%) 3 (43%)
Moderate 141 45 (32%) 96 (68%)
Poor 452 101 (22%) 351 (78%)
Histology§ 0.015 -- --
Ductal 554 130 (23%) 424 (77%)
Lobular 20 9 (45%) 11 (55%)
Mixed 19 9 (47%) 10 (53%)
Other* 6 2(33) 4 (67%)
Breast pCR <0.001 <0.001
No 433 129 (30%) 304 (70%) Ref
Yes 167 21 (13%) 146 (87%) 2.62 1.54–4.66

BCS breast-conserving surgery, NAC neoadjuvant chemotherapy, CI confidence interval, HR hormone receptor, HER2 human epidermal growth factor receptor 2, pCR pathologic complete response

#

Unknown (tumor size), n = 16

§

Unknown (histology) n = 1

*

other = 4 metaplastic, 1 anaplastic, 1 mucinous