Clinical Information and Prognosis of High-risk Luminal Breast Cancer Subjects Eligible for the MonarhE Study.

IF 1.5 Q2 MEDICINE, GENERAL & INTERNAL
JMA journal Pub Date : 2025-04-28 Epub Date: 2025-02-14 DOI:10.31662/jmaj.2024-0243
Mio Adachi, Toshiyuki Ishiba, Sakiko Maruya, Kumiko Hayashi, Yuichi Kumaki, Goshi Oda, Tomoyuki Aruga
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Abstract

Introduction: Luminal breast cancer is the most common breast cancer subtype. Although its prognosis can be good, this type of breast cancer is characterized by a high incidence of late recurrence. However, to the best of our knowledge, there are no publications showing prognostic value regarding the invasive-disease-free survival (IDFS) and distant relapse-free survival in this group in clinical practice. Therefore, this study examined the clinical data and prognosis of patients participating in the MonarchE trial.

Methods: This study included patients who underwent surgery at Tokyo Metropolitan Komagome Hospital and whose corresponding prognosis to the Monarch E trial could be followed up.

Results: The total number of participants was 152, of whom 104 (68%) were treated with chemotherapy. Seventy-five patients (49%) were postmenopausal. The IDFS after 5 years was 85.0%. Although IDFS did not differ in terms of the menstrual status, premenopausal patients tended to receive a higher proportion of tamoxifen, and there was a greater number of patients treated with chemotherapy. However, neither chemotherapy nor menstrual statuses were found to affect the IDFS incidence.

Conclusions: Real clinical data applicable to the MonarchE study were examined. Our univariate analysis revealed that there were no factors affecting IDFS.

符合MonarhE研究的高危腔内乳腺癌受试者的临床信息和预后。
导读:腔内乳腺癌是最常见的乳腺癌亚型。虽然其预后可以很好,但这种类型的乳腺癌的特点是晚期复发率高。然而,据我们所知,没有出版物显示在临床实践中该组的侵袭性无病生存(IDFS)和远期无复发生存的预后价值。因此,本研究检查了参加MonarchE试验的患者的临床资料和预后。方法:本研究纳入了在东京大都会Komagome医院接受手术的患者,其相应的君主E试验预后可以随访。结果:总人数152人,其中104人(68%)接受了化疗。75例(49%)为绝经后患者。5年后的IDFS为85.0%。虽然IDFS在月经状况方面没有差异,但绝经前患者倾向于接受他莫昔芬的比例更高,并且有更多的患者接受化疗。然而,化疗和月经状况均未发现影响IDFS的发生率。结论:研究了适用于MonarchE研究的真实临床数据。我们的单因素分析显示,没有影响IDFS的因素。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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