Yıl: 2021 Cilt: 17 Sayı: 1 Sayfa Aralığı: 62 - 67 Metin Dili: İngilizce DOI: 10.4274/ejbh.2020.5969 İndeks Tarihi: 15-05-2021

Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience

Öz:
Objective: This study aimed to evaluate various prognostic factors that play a vital role in stratifying and guiding tailored treatment strategies and survivaloutcome in breast cancer patients with brain metastases (BM).Materials and Methods: Data regarding demography, clinical presentation, molecular subtypes, risk-stratification, treatment details, and outcomes wereretrieved from medical records. All time-to-event (survival) outcomes were analyzed by Kaplan-Meir method and compared using log-rank test. Univariateand multivariate analysis of relevant prognostic factors were performed and p-values ≤0.05 were considered statistically significant.Results: A total of 88 patients (median age: 50 years) were included for this study. The median follow-up time of all surviving patients was ~20 months.During the follow-up, 82 (93.1%) patients died. The median survival of all patients was 12 months, with 1-year and 2-year overall survival (OS) rate of51% and 22%, respectively. Based on univariate analysis, statistically significant prognostic factors for OS were molecular subtypes, number of BM, andKarnofsky Performance Status (KPS); however, number of BM and KPS emerged as independent predictors of survival based on multivariate analysis.Conclusion: We conclude that, there are other important prognostic factor, such as number of BM, which may affect the OS of these patients, in additionto variables included in the diagnosis-specific graded prognostic assessment score. Prospective studies evaluating these factors are necessary to further refine the stratification of patients, which will aid the initiation of appropriate treatment to improve the OS of patients.
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  • 1. Jemal A, Siegel R, Ward E, Hao Y, Xu J, Murray T, et al. Cancer statistics, 2008. CA Cancer J Clin 2008; 58: 71-96. (PMID: 18287387) [Crossref ]
  • 2. Zimm S, Wampler GL, Stablein D, Hazra T, Young HF. Intracerebral metastases in solid-tumor patients: Natural history and results of treatment. Cancer 1981; 48: 384-394. (PMID: 7237407) [Crossref ]
  • 3. Kirsch DG, Loeffler JS. Brain metastases in patients with breast cancer: new horizons. Clin Breast Cancer 2005; 6: 115‐124. (PMID: 16001989) [Crossref ]
  • 4. Tsukada Y, Fouad A, Pickren JW, Lane WW. Central nervous system metastasis from breast carcinoma. Autopsy study. Cancer 1983; 52: 2349- 2354. (PMID: 6640506) [Crossref ]
  • 5. Yamamoto M, Serizawa T, Shuto T, Akabane A, Higuchi Y, Kawagishi J, et al. Stereotactic radiosurgery for patients with multiple brain metastases (JLGK0901): a multi‐institutional prospective observational study. Lancet Oncol 2014; 15: 387-395. (PMID: 24621620) [Crossref ]
  • 6. Gaspar L, Scott C, Rotman M, Asbell S, Phillips T, Wasserman T, et al. Recursive partitioning analysis (RPA) of prognostic factors in three Radiation Therapy Oncology Group (RTOG) brain metastases trials. Int J Radiat Oncol Biol Phys 1997; 37: 745-751. (PMID: 9128946) [Crossref ]
  • 7. Nieder C, Nestle U, Motaref B, Walter K, Niewald M, Schnabel K. Prognostic factors in brain metastases: should patients be selected for aggressive treatment according to recursive partitioning analysis (RPA) classes? Int J Radiat Oncol Biol Phys 2000; 46: 297-302. (PMID: 10661335) [Crossref ]
  • 8. Tendulkar RD, Liu SW, Barnett GH, Vogelbaum MA, Toms SA, Jin T, et al. RPA classification has prognostic significance for surgically resected single brain metastasis. Int J Radiat Oncol Biol Phys 2006; 66: 810-817. (PMID: 17011454) [Crossref ]
  • 9. Cannady SB, Cavanaugh KA, Lee SY, Bukowski RM, Olencki TE, Stevens GH, et al. Results of whole brain radiotherapy and recursive partitioning analysis in patients with brain metastases from renal cell carcinoma: a retrospective study. Int J Radiat Oncol Biol Phys 2004; 58: 253-258. (PMID: 14697446) [Crossref ]
  • 10. Sperduto PW, Kased N, Roberge D, Xu Z, Shanley R, Luo X, et al. Summary report on the graded prognostic assessment: an accurate and facile diagnosis-specific tool to estimate survival for patients with brain metastases. J Clin Oncol 2012; 30: 419-425. (PMID: 22203767) [Crossref ]
  • 11. Sperduto PW, Kased N, Roberge D, Xu Z, Shanley R, Luo X, et al. Effect of tumor subtype on survival and the graded prognostic assessment for patients with breast cancer and brain metastases. Int J Radiat Oncol Biol Phys 2012; 82: 2111-2117. (PMID: 21497451) [Crossref ]
  • 12. Triple-Negative Breast Cancer. Last Accessed Date: 07.02.2020. Available from: https://www.breastcancer.org/symptoms/diagnosis/trip_neg.
  • 13. Mirza P, Miriam HAB, Markus S, Christopher N, Barbara C. Retrospective study of 229 surgically treated patients with brain metastases: Prognostic factors, outcome and comparison of recursive partitioning analysis and diagnosis-specific graded prognostic assessment. Surg Neurol Int 2017; 8: 259. (PMID: 29184710) [Crossref ]
  • 14. Villà S, Weber, DC, Moretones C, Anabel M, Christophe C, Josep J, et al. Validation of the new graded prognostic assessment scale for brain metastases: a multicenter prospective study. Radiat Oncol 2011; 6: 23. (PMID: 21366924) [Crossref ]
  • 15. Pandit P, Patil R, Palwe V, Gandhe S, Patil R, Nagarkar R. Prevalence of Molecular Subtypes of Breast Cancer: A Single Institutional Experience of 2062 Patients. Eur J Breast Health 2019; 16: 39-43. (PMID: 31912012) [Crossref ]
  • 16. Onitilo AA, Engel JM, Greenlee RT, Mukesh BN. Breast cancer subtypes based on er/pr and her2 expression: comparison of clinicopathologic features and survival. Clin Med Res 2009; 7(1-2) :4-13. (PMID: 19574486) [Crossref ]
  • 17. Mid-Atlantic Division of the Cooperative Human Tissue Network. Last Accessed Date: 07.02.2020. Available from: URL: http://www.cdp.nci. nih.gov/breast/prognostic_dm.html.
  • 18. Lim YJ, Lee SW, Choi N, Kwon J, Eom KY, Kang E, et al. Failure patterns according to molecular subtype in patients with invasive breast cancer following postoperative adjuvant radiotherapy: long‐term outcomes in contemporary clinical practice. Breast Cancer Res Treat 2017; 163: 555- 563. (PMID: 28315066) [Crossref ]
  • 19. Shen Q, Sahin AA, Hess KR, Suki D, Aldape KD, Sawaya R, et al. Breast cancer with brain metastases: clinicopathologic features, survival, and paired biomarker analysis. Oncologist 2015; 20: 466-473. (PMID: 25802405) [Crossref ]
  • 20. Ahn HK, Lee S, Park YH, Sohn JH, Jo JC, Ahn JH, et al. Prediction of outcomes for patients with brain parenchymal metastases from breast cancer (BC): a new BC‐specific prognostic model and a nomogram. Neuro Oncol 2012; 14: 1105‐1113. (PMID: 22693244) [Crossref ]
  • 21. Gondi V, Pugh SL, Tome WA, Caine C, Corn B, Kanner A, et al. Preservation of memory with conformal avoidance of the hippocampal neural stem‐cell compartment during whole‐brain radiotherapy for brain metastases (RTOG 0933): a phase II multi‐institutional trial. J Clin Oncol 2014; 32: 3810-3816. (PMID: 25349290) [Crossref ]
APA Patil D, Pandit P, Palwe V, Kate S, Gandhe S, Patil R, ramesh y, Nagarkar R (2021). Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience. , 62 - 67. 10.4274/ejbh.2020.5969
Chicago Patil Dr. Roshankumar,Pandit Prakash,Palwe Vijay,Kate Shruti,Gandhe Sucheta,Patil Rahul,ramesh yasam venkata,Nagarkar Rajnish Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience. (2021): 62 - 67. 10.4274/ejbh.2020.5969
MLA Patil Dr. Roshankumar,Pandit Prakash,Palwe Vijay,Kate Shruti,Gandhe Sucheta,Patil Rahul,ramesh yasam venkata,Nagarkar Rajnish Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience. , 2021, ss.62 - 67. 10.4274/ejbh.2020.5969
AMA Patil D,Pandit P,Palwe V,Kate S,Gandhe S,Patil R,ramesh y,Nagarkar R Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience. . 2021; 62 - 67. 10.4274/ejbh.2020.5969
Vancouver Patil D,Pandit P,Palwe V,Kate S,Gandhe S,Patil R,ramesh y,Nagarkar R Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience. . 2021; 62 - 67. 10.4274/ejbh.2020.5969
IEEE Patil D,Pandit P,Palwe V,Kate S,Gandhe S,Patil R,ramesh y,Nagarkar R "Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience." , ss.62 - 67, 2021. 10.4274/ejbh.2020.5969
ISNAD Patil, Dr. Roshankumar vd. "Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience". (2021), 62-67. https://doi.org/10.4274/ejbh.2020.5969
APA Patil D, Pandit P, Palwe V, Kate S, Gandhe S, Patil R, ramesh y, Nagarkar R (2021). Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience. European Journal of Breast Health, 17(1), 62 - 67. 10.4274/ejbh.2020.5969
Chicago Patil Dr. Roshankumar,Pandit Prakash,Palwe Vijay,Kate Shruti,Gandhe Sucheta,Patil Rahul,ramesh yasam venkata,Nagarkar Rajnish Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience. European Journal of Breast Health 17, no.1 (2021): 62 - 67. 10.4274/ejbh.2020.5969
MLA Patil Dr. Roshankumar,Pandit Prakash,Palwe Vijay,Kate Shruti,Gandhe Sucheta,Patil Rahul,ramesh yasam venkata,Nagarkar Rajnish Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience. European Journal of Breast Health, vol.17, no.1, 2021, ss.62 - 67. 10.4274/ejbh.2020.5969
AMA Patil D,Pandit P,Palwe V,Kate S,Gandhe S,Patil R,ramesh y,Nagarkar R Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience. European Journal of Breast Health. 2021; 17(1): 62 - 67. 10.4274/ejbh.2020.5969
Vancouver Patil D,Pandit P,Palwe V,Kate S,Gandhe S,Patil R,ramesh y,Nagarkar R Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience. European Journal of Breast Health. 2021; 17(1): 62 - 67. 10.4274/ejbh.2020.5969
IEEE Patil D,Pandit P,Palwe V,Kate S,Gandhe S,Patil R,ramesh y,Nagarkar R "Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience." European Journal of Breast Health, 17, ss.62 - 67, 2021. 10.4274/ejbh.2020.5969
ISNAD Patil, Dr. Roshankumar vd. "Evaluation of Prognostic Factors that Affect Survival Outcomes of Breast Cancer Patients with Brain Metastases: A Single Institutional Experience". European Journal of Breast Health 17/1 (2021), 62-67. https://doi.org/10.4274/ejbh.2020.5969