Table 1.
Clinicopathological characteristics of study population according to stage at initial diagnosis.
Characteristic | Stage at initial diagnosis | All (n=926) | p-value | ||||
---|---|---|---|---|---|---|---|
Stage 0-III (n=714) | Stage IV (de novo MBC) (n=212) | ||||||
N | % | N | % | N | % | ||
Age at initial diagnosis, median (range) | 47.6a (17.7–82.7) | 50.6 (18.4–83.8) | 48.1 (17.7–83.8) | 9.55e–05 | |||
Race | |||||||
Caucasian | 627 | 87.8 | 188 | 88.7 | 815 | 88.0 | 0.066 |
African American | 26 | 3.6 | 12 | 5.7 | 38 | 4.1 | |
Asian or Pacific Islander | 21 | 2.9 | 8 | 3.8 | 29 | 3.1 | |
Other | 22 | 3.1 | 0 | 0.0 | 22 | 2.4 | |
Unknown | 18 | 2.5 | 4 | 1.9 | 22 | 2.4 | |
Sex | |||||||
Female | 710 | 99.4 | 209 | 98.6 | 919 | 99.2 | 0.418 |
Male | 4 | 0.6 | 3 | 1.4 | 7 | 0.8 | |
Ethnicity | |||||||
Spanish/Hispanic | 28 | 3.9 | 7 | 3.3 | 35 | 3.8 | 0.264 |
Non-Spanish; non-Hispanic | 630 | 88.2 | 195 | 92.0 | 825 | 89.1 | |
Unknown | 56 | 7.8 | 10 | 4.7 | 66 | 7.1 | |
Histologic Subtype | |||||||
DCIS | 14 | 2.0 | 0 | 0 | 14 | 1.5 | 0.006 |
Invasive Ductal (IDC) | 533 | 74.6 | 146 | 68.9 | 679 | 73.3 | |
Invasive Lobular (ILC) | 71 | 9.9 | 35 | 16.5 | 106 | 11.4 | |
Mixed (IDC and ILC) | 54 | 7.6 | 26 | 12.3 | 80 | 8.6 | |
Tubular | 2 | 0.3 | 0 | 0 | 2 | 0.2 | |
Mucinous | 4 | 0.6 | 1 | 0.5 | 5 | 0.5 | |
Other | 9 | 1.3 | 1 | 0.5 | 10 | 1.1 | |
Unknown | 27 | 3.8 | 3 | 1.4 | 30 | 3.2 | |
Histologic Grade | |||||||
Well differentiated | 41 | 5.7 | 11 | 5.2 | 52 | 5.6 | 0.175 |
Moderately differentiated | 255 | 35.7 | 88 | 41.5 | 343 | 37.0 | |
Poorly differentiated | 365 | 51.1 | 105 | 49.5 | 470 | 50.8 | |
Unknown | 53 | 7.4 | 8 | 3.8 | 61 | 6.6 | |
Subtype according to HR/HER2 status at initial diagnosis (primary) | |||||||
HER2+/HR+ | 72 | 10.1 | 35 | 16.5 | 107 | 11.6 | 2.65e–08 |
HER2+/HR− | 36 | 5.0 | 16 | 7.5 | 52 | 5.6 | |
HER2−/HR+ | 379 | 53.1 | 136 | 64.2 | 515 | 55.6 | |
TNBC | 154 | 21.6 | 25 | 11.8 | 179 | 19.3 | |
Unknown | 73 | 10.2 | 0 | 0 | 73 | 7.9 | |
Subtype according to HR/HER2 status at metastatic diagnosisb | |||||||
HER2+/HR+ | 39 | 5.5 | 35 | 16.5 | 74 | 8.0 | <2.2e–16 |
HER2+/HR− | 41 | 5.7 | 16 | 7.5 | 57 | 6.2 | |
HER2−/HR+ | 340 | 47.6 | 136 | 64.2 | 476 | 51.4 | |
TNBC | 142 | 19.9 | 25 | 11.8 | 167 | 18.0 | |
Unknown | 152 | 21.3 | 0 | 0 | 152 | 16.4 | |
Stage at initial diagnosis | |||||||
DCISc | 14 | 2.0 | 0 | 0 | 14 | 1.5 | - |
Stage I | 128 | 17.9 | 0 | 0 | 128 | 13.8 | |
Stage II | 329 | 46.1 | 0 | 0 | 329 | 35.5 | |
Stage III | 237 | 33.2 | 0 | 0 | 237 | 25.6 | |
Stage IV | 0 | 0 | 212 | 100.0 | 212 | 22.9 | |
Unspecifiedd | 6 | 0.8 | 0 | 0 | 6 | 0.6 | |
Disease-free interval (until diagnosis of metastatic recurrence) | |||||||
De novo MBC (stage IV at diagnosis) | 0 | 0 | 212 | 100.0 | 212 | 22.9 | - |
≤2 years | 191 | 26.8 | 0 | 0 | 191 | 20.6 | |
>2 years | 523 | 73.2 | 0 | 0 | 523 | 56.5 | |
Type of sample tested | |||||||
Primary | 418 | 58.5 | 168 | 79.2 | 586 | 63.3 | 4.13e–07 |
Metastatic Recurrence | 273 | 38.2 | 44 | 20.8 | 317 | 34.2 | |
Local Recurrence | 11 | 1.5 | 0 | 0 | 11 | 1.2 | |
Unspecified | 12 | 1.7 | 0 | 0 | 12 | 1.3 | |
OncoPanel Version | |||||||
1.0 | 150 | 21.0 | 40 | 18.9 | 190 | 20.5 | 0.561 |
2.0 | 564 | 79.0 | 172 | 81.1 | 736 | 79.5 | |
Vital status | |||||||
Alive | 476 | 66.7 | 159 | 75.0 | 635 | 68.6 | 0.027 |
Dead | 238 | 33.3 | 53 | 25.0 | 291 | 31.4 |
Median age at initial diagnosis of breast cancer was 47.6 years in patients who later developed rMBC. In this group, the median age at diagnosis of metastatic recurrence was 53.6 years.
In three patients who presented with initial diagnosis of HR+/HER2− dnMBC, OncoPanel was performed on a metastatic site of disease (collected > 180 days after initial diagnosis) that was TNBC (n=2) or HR+/HER2+ (n=1). In two patients with HR+/HER2+ dnMBC at initial diagnosis, OncoPanel was performed on a metastatic sample (collected >180 days after initial diagnosis) that was found to be HR−/HER2+.
Patients with history of DCIS prior to the diagnosis of metastatic breast cancer (n=14) had a metastatic site of disease tested with OncoPanel.
Cases are confirmed as early-stage invasive breast cancers, however, there was insufficient information available to classify by anatomic stage.