Survival Analysis of Triple Negative and Her2 Positive Breast Cancer Patients: Single Center Report

Objective:Triple negative and human epidermal growth factor receptor 2 (Her2) positive breast tumors are characterized by the absence of expression of estrogen and progesterone receptors and with either Her2 expression or not. Generally, they are larger tumors with higher grade, higher incidence of...

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Main Authors: Umut Varol, Burcu Çakar, İbrahim Yıldız, Ceyda Tunakan Dalgıç, Hatice Özışık, Melih Özışık, Burçak Karaca, Bülent Karabulut, Rüçhan Uslu
Format: Article
Language:English
Published: Galenos Publishing House 2014-01-01
Series:European Journal of Breast Health
Subjects:
Online Access: http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/survival-analysis-of-triple-negative-and-her2-posi/42282
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author Umut Varol
Burcu Çakar
İbrahim Yıldız
Ceyda Tunakan Dalgıç
Hatice Özışık
Melih Özışık
Burçak Karaca
Bülent Karabulut
Rüçhan Uslu
author_facet Umut Varol
Burcu Çakar
İbrahim Yıldız
Ceyda Tunakan Dalgıç
Hatice Özışık
Melih Özışık
Burçak Karaca
Bülent Karabulut
Rüçhan Uslu
author_sort Umut Varol
collection DOAJ
description Objective:Triple negative and human epidermal growth factor receptor 2 (Her2) positive breast tumors are characterized by the absence of expression of estrogen and progesterone receptors and with either Her2 expression or not. Generally, they are larger tumors with higher grade, higher incidence of recurrence and distant metastasis. This article will investigate clinical, pathological, and molecular features of these high risk breast cancer patients and whether these features are correlated with recurrences or not.Materials and Methods:Breast cancer patients of 109 triple negative and 81 Her2 positive histology followed in the medical oncology department of our hospital between 2004 and 2011 were enrolled in the study. These patients were mostly treated with adjuvant and neoadjuvant chemotherapy.Results:The median age of patients was 51 and 52 years. Median follow-up duration was 22 and 29 months. Four patients in each group died during the follow-up. 5 year survival rates were 81.1% in triple negative group and 73.5% in Her2 positive group. Relapses were seen in 30 patients. Bone and brain were the most common metastatic sites in the first and second groups respectively. Triple negative patients having larger tumor size and Her2 positive patients having positive lymph node or not treated with radiotherapy have a statistically higher chance of relapse during the follow-up.Conclusion:Despite the short median follow-up time, approximately one sixth of our patients had recurrence and this supported the aggressive course of the disease in high risk patients. For this reason, risk factors that help us to predict the early recurrences in both of the groups are very important.
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spelling doaj.art-0c251cc66c13441aa52371fc8a61d40d2023-02-15T16:20:00ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312014-01-01101424610.5152/tjbh.2014.177313049054Survival Analysis of Triple Negative and Her2 Positive Breast Cancer Patients: Single Center ReportUmut Varol0Burcu Çakar1İbrahim Yıldız2Ceyda Tunakan Dalgıç3Hatice Özışık4Melih Özışık5Burçak Karaca6Bülent Karabulut7Rüçhan Uslu8 İzmir Katip Çelebi Üniversitesi Atatürk Eğitim ve Araştırma Hastanesi, Tıbbi Onkoloji Kliniği, İzmir, Türkiye Ege Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Tıbbi Onkoloji Bilim Dalı, İzmir, Türkiye İzmir Katip Çelebi Üniversitesi Atatürk Eğitim ve Araştırma Hastanesi, Tıbbi Onkoloji Kliniği, İzmir, Türkiye Ege Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, İzmir, Türkiye Ege Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, İzmir, Türkiye Ege Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, İzmir, Türkiye Ege Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Tıbbi Onkoloji Bilim Dalı, İzmir, Türkiye Ege Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Tıbbi Onkoloji Bilim Dalı, İzmir, Türkiye Ege Üniversitesi Tıp Fakültesi, İç Hastalıkları Anabilim Dalı, Tıbbi Onkoloji Bilim Dalı, İzmir, Türkiye Objective:Triple negative and human epidermal growth factor receptor 2 (Her2) positive breast tumors are characterized by the absence of expression of estrogen and progesterone receptors and with either Her2 expression or not. Generally, they are larger tumors with higher grade, higher incidence of recurrence and distant metastasis. This article will investigate clinical, pathological, and molecular features of these high risk breast cancer patients and whether these features are correlated with recurrences or not.Materials and Methods:Breast cancer patients of 109 triple negative and 81 Her2 positive histology followed in the medical oncology department of our hospital between 2004 and 2011 were enrolled in the study. These patients were mostly treated with adjuvant and neoadjuvant chemotherapy.Results:The median age of patients was 51 and 52 years. Median follow-up duration was 22 and 29 months. Four patients in each group died during the follow-up. 5 year survival rates were 81.1% in triple negative group and 73.5% in Her2 positive group. Relapses were seen in 30 patients. Bone and brain were the most common metastatic sites in the first and second groups respectively. Triple negative patients having larger tumor size and Her2 positive patients having positive lymph node or not treated with radiotherapy have a statistically higher chance of relapse during the follow-up.Conclusion:Despite the short median follow-up time, approximately one sixth of our patients had recurrence and this supported the aggressive course of the disease in high risk patients. For this reason, risk factors that help us to predict the early recurrences in both of the groups are very important. http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/survival-analysis-of-triple-negative-and-her2-posi/42282 breast cancersurvival analysisretrospective studiesrecurrences
spellingShingle Umut Varol
Burcu Çakar
İbrahim Yıldız
Ceyda Tunakan Dalgıç
Hatice Özışık
Melih Özışık
Burçak Karaca
Bülent Karabulut
Rüçhan Uslu
Survival Analysis of Triple Negative and Her2 Positive Breast Cancer Patients: Single Center Report
European Journal of Breast Health
breast cancer
survival analysis
retrospective studies
recurrences
title Survival Analysis of Triple Negative and Her2 Positive Breast Cancer Patients: Single Center Report
title_full Survival Analysis of Triple Negative and Her2 Positive Breast Cancer Patients: Single Center Report
title_fullStr Survival Analysis of Triple Negative and Her2 Positive Breast Cancer Patients: Single Center Report
title_full_unstemmed Survival Analysis of Triple Negative and Her2 Positive Breast Cancer Patients: Single Center Report
title_short Survival Analysis of Triple Negative and Her2 Positive Breast Cancer Patients: Single Center Report
title_sort survival analysis of triple negative and her2 positive breast cancer patients single center report
topic breast cancer
survival analysis
retrospective studies
recurrences
url http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/survival-analysis-of-triple-negative-and-her2-posi/42282
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AT ibrahimyıldız survivalanalysisoftriplenegativeandher2positivebreastcancerpatientssinglecenterreport
AT ceydatunakandalgıc survivalanalysisoftriplenegativeandher2positivebreastcancerpatientssinglecenterreport
AT haticeozısık survivalanalysisoftriplenegativeandher2positivebreastcancerpatientssinglecenterreport
AT melihozısık survivalanalysisoftriplenegativeandher2positivebreastcancerpatientssinglecenterreport
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