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Effect of Surgery or Radiotherapy of the Breast on Survival in Metastatic Disease: a Retrospective Cohort Study

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Abstract

Evidence to justify survival benefit of local therapy of the breast (LT) for breast cancer patients who are metastatic at presentation (MBC) is weak. The aim of this study is to evaluate the outcome of LT on survival in MBC patients. Patients who had received (1) radiotherapy, (2) surgery, (3) surgery and radiotherapy as LT, and (4) no LT in four groups of 25 were evaluated for 1- and 4-year cause-specific survival (CSS). One- and 4-year CSS in four groups were (1) 76% and 60%, (2) 84% and 56% (3) 80% and 52%, and (4) 48% and 16%, respectively. When controlling for age and site of metastasis as covariates, grouping significantly correlated with survival: F (3, 94): 2.93, P 0.04. Post hoc analysis revealed that the mean survival of group 2: (M 23.39, SE 2.53) was higher than group 4: (M 13.63, SE 2.52, P = 0.03). Surgery as a single modality LT for MBC may provide survival benefit.

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Acknowledgments

The authors of this manuscript would like to thank medical registry team and technological personnel of Omid hospital, and all patients and their families for their kind corporation.

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Authors and Affiliations

  1. Department of Radiotherapy and Oncology, Isfahan University of Medical Sciences, Isfahan, Iran

    Mahnaz Roayaei

  2. Najaf-Abad Branch, Faculty of Medicine, Islamic Azad University, Isfahan, Iran

    Yalda Nikanpour

  3. Department of Radiation Oncology, Iran University of Medical Sciences, Tehran, Iran

    Hoda Mahdavi

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  1. Mahnaz Roayaei
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  2. Yalda Nikanpour
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  3. Hoda Mahdavi
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Correspondence to Hoda Mahdavi.

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Roayaei, M., Nikanpour, Y. & Mahdavi, H. Effect of Surgery or Radiotherapy of the Breast on Survival in Metastatic Disease: a Retrospective Cohort Study. Indian J Surg Oncol 10, 213–218 (2019). https://doi.org/10.1007/s13193-018-0830-y

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