Wu Shih-Chung, Chiang Ming-Chu, Lee Yun-Gang, Wang Mei-Wen, Li Chuan-Fang, Tung Tao-Hsin, Chen Hsiao-Hui
Department of General Surgery.
Department of Nursing.
Medicine (Baltimore). 2020 Feb;99(7):e19122. doi: 10.1097/MD.0000000000019122.
Our objective in this study was to determine the survival rate of patients with invasive breast cancer and identify the prognostic factors related to all-cause mortality during a 10-year follow-up.Analysis was performed on the medical records of 2002 patients newly diagnosed with breast cancer at a medical center in southern Taiwan between 2006 and 2017. The Kaplan-Meier method and Cox regression analysis were used to estimate survival and the independence of prognostic factors associated with all-cause mortality.Among the 2002 patients, 257 expired during the 10-year follow-up period. The overall survival rates were as follows: 3 years (91.1%), 5 years (85.6%), and 10 years (77.9%). The median survival time was 120.41 months (95% confidence interval: 118.48-122.33 months). Older age, pathologic tumor status, regional lymph node metastasis, distant metastasis, grade/differentiation, treatment modalities, and hormone therapy were significantly related to all-cause mortality.This study identified several clinical factors related to all-cause mortality as well as its relationship to distant metastasis and poor differentiation. Early diagnosis and treatment aimed at preventing recurrence are the keys to survival.
本研究的目的是确定浸润性乳腺癌患者的生存率,并确定在10年随访期间与全因死亡率相关的预后因素。对2006年至2017年期间在台湾南部一家医疗中心新诊断为乳腺癌的2002例患者的病历进行了分析。采用Kaplan-Meier方法和Cox回归分析来估计生存率以及与全因死亡率相关的预后因素的独立性。在2002例患者中,257例在10年随访期内死亡。总体生存率如下:3年(91.1%)、5年(85.6%)和10年(77.9%)。中位生存时间为120.41个月(95%置信区间:118.48-122.33个月)。年龄较大、病理肿瘤状态、区域淋巴结转移、远处转移、分级/分化、治疗方式和激素治疗与全因死亡率显著相关。本研究确定了几个与全因死亡率相关的临床因素及其与远处转移和低分化的关系。早期诊断和旨在预防复发的治疗是生存的关键。