Effect of Large Tumor Size on Cancer-Specific Mortality in Node-Negative Breast Cancer

Effect of Large Tumor Size on Cancer-Specific Mortality in Node-Negative Breast Cancer
复制标题

大肿瘤尺寸对淋巴结阴性乳腺癌癌症特异性死亡率的影响。

DOI:
10.1016/j.mayocp.2012.07.023
复制
发表时间:
2012-12-01
影响因子:
8.9
通讯作者:
Shao, Zhi-Ming
Shao, Zhi-Ming
中科院分区:
医学2区
文献类型:
--
作者:
Yu, Ke-Da;Jiang, Yi-Zhou;Shao, Zhi-Ming

文献摘要

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目的:研究大肿瘤大小与乳腺癌特异性死亡率(BCSM)之间的关系,特别是在淋巴结阴性(LN)患者亚组中。我们使用监测、流行病学和最终结果登记处确定了1990年1月1日至2003年12月31日诊断的107,705名女性患者,患有浸润性乳腺癌,并接受手术和LN剥离治疗。结果:在多因素分析中,发现肿瘤大小与淋巴结受累之间存在显著的交互作用(P
Objective: To examine the relationship between large tumor size and breast cancer-specific mortality (BCSM), especially in a subset of patients with negative lymph nodes (LNs).Patients and Methods: We used the Surveillance, Epidemiology and End Results registry to identify 107,705 female patients diagnosed from January 1, 1990, through December 31, 2003, as having invasive breast cancer and treated with surgery and LN dissection. Relevant issues unclear in the database were studied in an additional 335 patients with locally advanced disease treated with neoadjuvant chemotherapy.Results: In the multivariable analysis, a significant interaction was found between tumor size and LN involvement (P