Table 2.
Association between BM recurrence after resection and clinicopathological characteristics or CAF marker expression.
| Variables | Frequency of recurrence | Univariate | Multivariate | |||
|---|---|---|---|---|---|---|
| P-value | HR | 95% CI | P-value | |||
| General characteristics | ||||||
| Age (yrs) | < 60 | 59.4% (19/32) | 0.027 | 0.398 | ||
| ≥ 60 | 31.0% (9/29) | |||||
| Sex | Female | 54.2% (13/24) | 0.297 | 0.502 | ||
| Male | 40.5% (15/37) | |||||
| CT or RT prior to BM | Absent | 27.3% (6/22) | 0.028 | 0.425 | ||
| Present | 56.4% (22/39) | |||||
| Other metastasis# | Absent | 53.1% (17/32) | 0.821 | 0.582 | ||
| Present | 50.0% (11/22) | |||||
| KPS | ≥ 90 | 47.8% (22/46) | 0.597 | 0.791 | ||
| < 90 | 40.0% (6/15) | |||||
| Symptoms | None to minimal | 51.7% (15/29) | 0.385 | 0.648 | ||
| Moderate to severe | 40.6% (13/32) | |||||
| BM characteristics | ||||||
| Detection time of BM | Metachronous | 50.0% (24/48) | 0.217 | NA* | ||
| Synchronous | 30.8% (4/13) | |||||
| Number of BM | Single | 42.9% (18/42) | 0.478 | 0.891 | ||
| Multiple | 52.6% (10/19) | |||||
| Size in diameter | < 3cm | 26.3% (5/19) | 0.039 | 0.998 | ||
| ≥ 3cm | 54.8% (23/42) | |||||
| Location | Supratentotial | 43.1% (22/51) | 0.328 | 0.471 | ||
| Infratentorial | 60.0% (6/10) | |||||
| Resection | GTR | 40.7% (22/54) | 0.025 | 0.330 | ||
| non-GTR | 85.7% (6/7) | |||||
| Adjuvant RT | Yes | 8.0% (2/25) | <0.001 | 0.028 | 0.005-0.168 | <0.001 | 
| No | 72.2% (26/36) | |||||
| CAF markers expression | ||||||
| PDGFR-β | Low | 21.7% (5/23) | 0.003 | 0.651 | ||
| High | 60.5% (23/38) | |||||
| α-SMA | Low | 18.8% (3/16) | 0.011 | 0.116 | 0.020-0.673 | 0.016 | 
| High | 55.6% (25/45) | |||||
| Collagen I | Low | 33.3% (4/12) | 0.330 | 0.730 | ||
| High | 49.0% (24/49) | |||||
| FSP1/S100A4 | Low | 42.9% (6/14) | 0.795 | 0.607 | ||
| High | 46.8% (22/47) | |||||
| FAP-α | Low | 48.1% (13/27) | 0.754 | 0.519 | ||
| High | 44.1% (15/34) | |||||
| Twist1 | Low | 37.5% (12/32) | 0.167 | 0.732 | ||
| High | 55.2% (16/29) | |||||
CAF, cancer-associated fibroblast; CT, chemotherapy; RT, radiation therapy; BM, brain metastasis; HR, hazard ratio; CI, confidence interval; KPS, Karnofsky performance score; GTR, gross total resection; NA*, excluded in multivariate analysis due to collinearity with CT or RT prior to BM; #, in 54 patients performed systemic evaluation of cancer status at BM detection.