The 21-gene recurrence score and effects of adjuvant radiotherapy after breast conserving surgery in early-stage breast cancer

Aim: To investigate the associations with the 21-gene recurrence score (RS) and effect of adjuvant radiotherapy (RT) for early-stage breast cancer after breast conserving surgery. Methods: We included 13,246 patients in the SEER database. Results: Patients with a higher RS were independently related to nonreceipt of RT (p < 0.001). In both the traditional and Trial Assigning Individualized Options for Treatment (TAILORx) RS cut-offs, the receipt of RT was not related to better breast cancer-specific survival in low- and high-risk RS groups, but was independently related to better breast cancer-specific survival in intermediate-risk RS group before (p = 0.029) and after (p = 0.001) propensity score matching. Conclusion: The 21-gene-RS may impact the decision-making of adjuvant RT in early-stage breast cancer after breast conserving surgery. The survival benefit of adjuvant RT may be limited to patients with intermediate-risk RS.

Medienart:

E-Artikel

Erscheinungsjahr:

2019

Erschienen:

2019

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Future oncology (London, England) - 15(2019), 14 vom: 20. Mai, Seite 1629-1639

Sprache:

Englisch

Beteiligte Personen:

Dong, Yong [VerfasserIn]
Zhang, Wen-Wen [VerfasserIn]
Wang, Jun [VerfasserIn]
Sun, Jia-Yuan [VerfasserIn]
He, Zhen-Yu [VerfasserIn]
Wu, San-Gang [VerfasserIn]

Links:

Volltext

Themen:

Biomarkers, Tumor
Breast cancer
Invasive ductal carcinoma
Journal Article
Oncotype
Radiotherapy
Survival

Anmerkungen:

Date Completed 18.11.2019

Date Revised 18.11.2019

published: Print-Electronic

Citation Status MEDLINE

doi:

10.2217/fon-2018-0967

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM294880496