Comparison of Clinical and Pathological Differences of Breast Cancer Patients under 35 and above 55 Years of Age

Objective: In this study, we aimed to evaluate the clinical, pathologic and management differences between breast cancer patients under 35 years of age and postmenopausal patients above 55 years of age.Materials and Methods: Patients who were operated on for breast cancer between November 2003 and M...

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Main Authors: Mustafa Emiroğlu, Cem Karaali, İsmail Sert, Semra Salimoğlu, Levent Uğurlu, Süleyman Aksoy, Cengiz Aydın
Format: Article
Language:English
Published: Galenos Publishing House 2015-07-01
Series:European Journal of Breast Health
Subjects:
Online Access: http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/comparison-of-clinical-and-pathological-difference/42217
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author Mustafa Emiroğlu
Cem Karaali
İsmail Sert
Semra Salimoğlu
Levent Uğurlu
Süleyman Aksoy
Cengiz Aydın
author_facet Mustafa Emiroğlu
Cem Karaali
İsmail Sert
Semra Salimoğlu
Levent Uğurlu
Süleyman Aksoy
Cengiz Aydın
author_sort Mustafa Emiroğlu
collection DOAJ
description Objective: In this study, we aimed to evaluate the clinical, pathologic and management differences between breast cancer patients under 35 years of age and postmenopausal patients above 55 years of age.Materials and Methods: Patients who were operated on for breast cancer between November 2003 and March 2013 in our hospital were retrospectively analyzed. Patients were separated into two Groups according their age; Group 1 (<35 years) and Group 2 (>55 years).Results: 94 patients with breast cancer, 45 patients in Group 1 and 49 patients in Group 2, were included in the study. The mean follow-up was 51 (19-121) months and 50 (19-120) months in Groups 1 and 2, respectively. Stages of breast cancer at the time of diagnosis were similar between the two groups. The groups were similar in terms of rates of re-excision (p=0.42), local recurrence (p=0.34) and solid organ metastases (p=0.182). The number of oncoplastic and reconstructive procedures were higher in Group 1 (p=0.04). Regarding pathological results, the rate of grade 3 tumors, those with Ki-67>12 and triple negative breast cancer were found to be higher in Group 1. In addition, the number of patients receiving chemotherapy was significantly higher in Group 1 (p=0.03).Conclusion: Oncologic results were similar between young patients and postmenopausal patients. Nevertheless, tumor biology was found to be worse in young patients. In addition, oncoplastic and reconstructive approaches were significantly higher in young patients.
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spelling doaj.art-19f20fcbc33740ae98edf79735fee3b02023-02-15T16:07:23ZengGalenos Publishing HouseEuropean Journal of Breast Health2587-08312015-07-0111312312710.5152/tjbh.2015.253913049054Comparison of Clinical and Pathological Differences of Breast Cancer Patients under 35 and above 55 Years of AgeMustafa Emiroğlu0Cem Karaali1İsmail Sert2Semra Salimoğlu3Levent Uğurlu4Süleyman Aksoy5Cengiz Aydın6 Tepecik Eğitim ve Araştırma Hastanesi, Genel Cerrahi Anabilim Dalı, İzmir, Türkiye Tepecik Eğitim ve Araştırma Hastanesi, Genel Cerrahi Anabilim Dalı, İzmir, Türkiye Tepecik Eğitim ve Araştırma Hastanesi, Genel Cerrahi Anabilim Dalı, İzmir, Türkiye Tepecik Eğitim ve Araştırma Hastanesi, Genel Cerrahi Anabilim Dalı, İzmir, Türkiye Tepecik Eğitim ve Araştırma Hastanesi, Genel Cerrahi Anabilim Dalı, İzmir, Türkiye Tepecik Eğitim ve Araştırma Hastanesi, Genel Cerrahi Anabilim Dalı, İzmir, Türkiye Tepecik Eğitim ve Araştırma Hastanesi, Genel Cerrahi Anabilim Dalı, İzmir, Türkiye Objective: In this study, we aimed to evaluate the clinical, pathologic and management differences between breast cancer patients under 35 years of age and postmenopausal patients above 55 years of age.Materials and Methods: Patients who were operated on for breast cancer between November 2003 and March 2013 in our hospital were retrospectively analyzed. Patients were separated into two Groups according their age; Group 1 (<35 years) and Group 2 (>55 years).Results: 94 patients with breast cancer, 45 patients in Group 1 and 49 patients in Group 2, were included in the study. The mean follow-up was 51 (19-121) months and 50 (19-120) months in Groups 1 and 2, respectively. Stages of breast cancer at the time of diagnosis were similar between the two groups. The groups were similar in terms of rates of re-excision (p=0.42), local recurrence (p=0.34) and solid organ metastases (p=0.182). The number of oncoplastic and reconstructive procedures were higher in Group 1 (p=0.04). Regarding pathological results, the rate of grade 3 tumors, those with Ki-67>12 and triple negative breast cancer were found to be higher in Group 1. In addition, the number of patients receiving chemotherapy was significantly higher in Group 1 (p=0.03).Conclusion: Oncologic results were similar between young patients and postmenopausal patients. Nevertheless, tumor biology was found to be worse in young patients. In addition, oncoplastic and reconstructive approaches were significantly higher in young patients. http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/comparison-of-clinical-and-pathological-difference/42217 breast canceryoung adultpostmenopause
spellingShingle Mustafa Emiroğlu
Cem Karaali
İsmail Sert
Semra Salimoğlu
Levent Uğurlu
Süleyman Aksoy
Cengiz Aydın
Comparison of Clinical and Pathological Differences of Breast Cancer Patients under 35 and above 55 Years of Age
European Journal of Breast Health
breast cancer
young adult
postmenopause
title Comparison of Clinical and Pathological Differences of Breast Cancer Patients under 35 and above 55 Years of Age
title_full Comparison of Clinical and Pathological Differences of Breast Cancer Patients under 35 and above 55 Years of Age
title_fullStr Comparison of Clinical and Pathological Differences of Breast Cancer Patients under 35 and above 55 Years of Age
title_full_unstemmed Comparison of Clinical and Pathological Differences of Breast Cancer Patients under 35 and above 55 Years of Age
title_short Comparison of Clinical and Pathological Differences of Breast Cancer Patients under 35 and above 55 Years of Age
title_sort comparison of clinical and pathological differences of breast cancer patients under 35 and above 55 years of age
topic breast cancer
young adult
postmenopause
url http://www.eurjbreasthealth.com/archives/archive-detail/article-preview/comparison-of-clinical-and-pathological-difference/42217
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