000 03549nam a22004937a 4500
008 221027s20222022 xxu||||| |||| 00| 0 eng d
022 _a0022-4804
024 _a10.1016/j.jss.2022.08.035 [doi]
024 _aS0022-4804(22)00540-6 [pii]
040 _aOvid MEDLINE(R)
099 _a36182676
245 _aPrognostic Predictors of Mortality in Male Breast Cancer: Outcomes in an Urban Population.
251 _aJournal of Surgical Research. 281:192-199, 2022 Sep 28.
252 _aJ Surg Res. 281:192-199, 2022 Sep 28.
253 _aThe Journal of surgical research
260 _c2022
260 _fFY2023
260 _p2022 Sep 28
265 _saheadofprint
266 _d2022-10-27
520 _aCONCLUSIONS: Advanced age, diabetes mellitus, atrial fibrillation, end-stage renal disease, Eastern Cooperative Oncology Group score of 3, poorly differentiated tumors, and metastatic disease are unfavorable prognostic factors in MBC. Compared to female breast cancer, MBC showed poorer overall survival. Copyright © 2022 Elsevier Inc. All rights reserved.
520 _aINTRODUCTION: Male breast cancer (MBC) accounts for 0.5% to 1% of all breast cancers diagnosed annually. The purpose of this study is to evaluate prognostic factors in MBC.
520 _aMETHODS: We performed a retrospective chart review of patients with MBC between 2010 and 2021. Demographics, comorbidities, cancer characteristics, recurrence, and mortality were collected. Cox proportional hazards regression model was used to determine prognostic factors. A Kaplan-Meier curve was used to plot survival probabilities.
520 _aRESULTS: A total of 47 male patients were identified. The mean age at presentation was 64.1 y. Twenty eight (59.6%) patients were African American and 14 patients (29.8%) were Caucasian. Most patients had invasive ductal carcinoma (89.4%) and presented with T1 or T2 tumors (40.4% and 38.3%, respectively). Three patients (6.4%) had a recurrence and eight patients (17%) died. Using mortality as an end point, age (>= 76.1 y) indicated a hazard ratio (HR) of 1.13 (P = 0.004), diabetes mellitus (HR = 5.45, P = 0.023), atrial fibrillation (HR = 8.0, P = 0.009), end-stage renal disease (HR 6.47, P = 0.023), Eastern Cooperative Oncology Group performance status of 3 (HR = 7.92, P = 0.024), poorly differentiated grade (HR = 7.21, P = 0.033), and metastatic disease (HR = 30.94, P = 0.015) had an increased risk of mortality. Overall survival at 3 y was 79.2%.
546 _aEnglish
650 _aIN PROCESS -- NOT YET INDEXED
651 _aMedStar Washington Hospital Center
656 _aBreast Oncology Fellowship
656 _aMedStar General Surgery Residency
656 _aMedStar Georgetown University Hospital/MedStar Washington Hospital Center
656 _aPlastic Surgery Residency
656 _aSurgery/Breast Surgery
657 _aJournal Article
700 _aDe La Cruz, Lucy
700 _aDeldar, Romina
_bMGUH
_cMedStar General Surgery Residency
_dMD
_eResident PGY 4
700 _aGreenwalt, Ian
700 _aGreige, Nicolas
_bMGUH
_cPlastic Surgery Residency
_dMD
_eResident PGY 2
700 _aSogunro, Olutayo
_bMWHC
_cBreast Oncology Fellowship
_dDO
_eFellow PGY 6
700 _aSon, Jennifer D
700 _aWehner, Patricia
790 _aDe La Cruz L, Deldar R, Greenwalt I, Greige N, Maini AS, Maini M, Sogunro OA, Son JD, Wehner P
856 _uhttps://dx.doi.org/10.1016/j.jss.2022.08.035
_zhttps://dx.doi.org/10.1016/j.jss.2022.08.035
942 _cART
_dArticle
999 _c224
_d224