Table 2.
Surgical and adjuvant treatment for hormone receptor-positive (HR+) cT2-4 breast cancer patients (NCDB 2010–2016)
| Characteristics | n | Neoadjuvant chemotherapy (n=14025) | n | Neoadjuvant endocrine therapy (n=5804) | P value |
|---|---|---|---|---|---|
| % | % | ||||
| Breast surgery type | < 0.001 | ||||
| Partial mastectomy | 4420 | 31.52 | 2779 | 47.88 | |
| Unilateral mastectomy | 6833 | 48.72 | 2570 | 44.28 | |
| Bilateral mastectomy | 2772 | 19.76 | 455 | 7.84 | |
| Axillary surgery type | < 0.001 | ||||
| SLNB (1–5 lymph nodes) | 4771 | 34.02 | 2732 | 47.07 | |
| ALND (>5 lymph nodes) | 8203 | 58.49 | 2253 | 38.82 | |
| No axillary surgery or unknown | 1051 | 7.49 | 819 | 14.11 | |
| Adjuvant chemotherapya | |||||
| Yes | NA | NA | 1497 | 25.79 | |
| Unknown | 0 | 0 | 125 | 2.15 | |
| Adjuvant endocrine therapyb | |||||
| Yes | 12,150 | 86.63 | NA | NA | |
| Unknown | 262 | 1.87 | 0 | 0 | |
| Radiation therapy | < 0.001 | ||||
| No | 2771 | 19.76 | 2405 | 41.44 | |
| Yes | 10,889 | 77.64 | 3222 | 55.51 | |
| Unknown | 365 | 2.6 | 177 | 3.05 | |
NCDB National Cancer Database, SLNB sentinel lymph node biopsy, ALND axillary lymph node dissection
aThe sequence of treatment was used to determine whether neoadjuvant endocrine therapy (NET) patients received adjuvant chemotherapy.
bThe sequence of treatment was used to determine whether neoadjuvant chemotherapy (NCT) patients received adjuvant endocrine therapy.