TY - JOUR
T1 - Influence of uncommon histology on breast conservation therapy for breast cancer-biology dictates technique?
AU - Wasif, Nabil
AU - McCullough, Ann E.
AU - Gray, Richard J.
AU - Pockaj, Barbara A.
PY - 2012/5
Y1 - 2012/5
N2 - Introduction Although trends and variations in the use of breast conservation therapy (BCT) for ductal carcinoma have been studied, little is known about uncommon breast cancer histologies. Methods The Surveillance, Epidemiology and End Results (SEER) database was used to identify 338,682 patients with T1 or T2 (≤cm) ductal, lobular, tubular, mucinous, medullary, or papillary carcinoma of the breast from 1998 to 2008. Multivariate logistic regression analysis was used to identify predictors of BCT. Results The majority of patients underwent BCT (60%). The rate of BCT remained relatively constant from 1998 to 2008 overall but varied from 50% for lobular to 79% for tubular. The highest rate of mastectomy was seen in lobular (49%). Nodal positivity following surgical staging was lowest for tubular (6%) and mucinous (8%). Adjuvant radiation was given to 72% overall and was lowest for papillary (58%). Predictors of BCT included tubular (OR 1.8, 95% CI 1.7-1.9) and medullary (OR 2.0, 95% CI 1.8-2.2) subtypes (vs. ductal). Conclusions Patients with uncommon breast cancer histologies show wide variation in the application of BCT depending on the primary tumor. This suggests that an individualized approach in the use of BCT depending on histology should be used. J. Surg. Oncol. 2012; 105:586-590.
AB - Introduction Although trends and variations in the use of breast conservation therapy (BCT) for ductal carcinoma have been studied, little is known about uncommon breast cancer histologies. Methods The Surveillance, Epidemiology and End Results (SEER) database was used to identify 338,682 patients with T1 or T2 (≤cm) ductal, lobular, tubular, mucinous, medullary, or papillary carcinoma of the breast from 1998 to 2008. Multivariate logistic regression analysis was used to identify predictors of BCT. Results The majority of patients underwent BCT (60%). The rate of BCT remained relatively constant from 1998 to 2008 overall but varied from 50% for lobular to 79% for tubular. The highest rate of mastectomy was seen in lobular (49%). Nodal positivity following surgical staging was lowest for tubular (6%) and mucinous (8%). Adjuvant radiation was given to 72% overall and was lowest for papillary (58%). Predictors of BCT included tubular (OR 1.8, 95% CI 1.7-1.9) and medullary (OR 2.0, 95% CI 1.8-2.2) subtypes (vs. ductal). Conclusions Patients with uncommon breast cancer histologies show wide variation in the application of BCT depending on the primary tumor. This suggests that an individualized approach in the use of BCT depending on histology should be used. J. Surg. Oncol. 2012; 105:586-590.
KW - lobular breast cancer
KW - medullary breast cancer
KW - mucinous breast cancer
KW - papillary breast cancer
KW - tubular breast cancer
UR - http://www.scopus.com/inward/record.url?scp=84859724606&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84859724606&partnerID=8YFLogxK
U2 - 10.1002/jso.22132
DO - 10.1002/jso.22132
M3 - Article
C2 - 22065479
AN - SCOPUS:84859724606
SN - 0022-4790
VL - 105
SP - 586
EP - 590
JO - Journal of Surgical Oncology
JF - Journal of Surgical Oncology
IS - 6
ER -