Back to Search Start Over

Multifocal and multicentric breast cancer is associated with increased local recurrence regardless of surgery type.

Authors :
Shaikh T
Tam TY
Li T
Hayes SB
Goldstein L
Bleicher R
Boraas M
Sigurdson E
Ryan PD
Anderson P
Source :
The breast journal [Breast J] 2015 Mar-Apr; Vol. 21 (2), pp. 121-6. Date of Electronic Publication: 2015 Jan 17.
Publication Year :
2015

Abstract

Multifocal and multicentric breast cancers have been correlated with poor prognostic factors and worse outcomes versus unifocal disease. We evaluated the impact of multifocal and multicentric disease versus case controls with unifocal disease, matching for age, grade, T-, and N-stage. A total of 110 patients with multifocal (n = 93) or multicentric (n = 17) disease and 263 matched case controls were identified with a median follow-up of 53 months and 64 months, respectively. The actuarial local control rates for the multifocal/multicentric and unifocal group were 88% and 97%, respectively at both 5 and 10 years (p < 0.001). On multivariate analysis, multifocal/multicentric disease remained associated with higher local recurrence after controlling for other covariates including surgery type. The disease-free survival rates in the multifocal/multicentric group at 5 and 10 years were 75% and 71%, respectively, versus 87% and 78% at 10 years (p = 0.01). On multivariate analysis, multifocal/multicentric disease was no longer associated with worse disease-free survival. There was no difference in the cohorts in terms of regional control, overall survival, or cancer specific survival. Our findings suggest that multifocal/multicentric disease may be associated with worse outcomes versus unifocal disease regardless of type of surgery. This suggests a more biologically aggressive cancer and may be an important consideration when managing these patients. Further studies are needed to better understand the impact of multifocal/multicentric breast cancers on outcomes.<br /> (© 2015 Wiley Periodicals, Inc.)

Details

Language :
English
ISSN :
1524-4741
Volume :
21
Issue :
2
Database :
MEDLINE
Journal :
The breast journal
Publication Type :
Academic Journal
Accession number :
25597248
Full Text :
https://doi.org/10.1111/tbj.12366