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Differences in clinicopathologic features and subtype distribution of invasive breast cancer between women older and younger than 40 years

Objectives: We investigated and compared clinicopathologic features and subtype distribution of invasive breast cancer among women

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Published in:Fujita Medical Journal 2019, Vol.5(4), pp.92-97
Main Authors: Ushimado, Kaori, Kobayashi, Naomi, Hikichi, Masahiro, Tsukamoto, Tetsuya, Kuroda, Makoto, Utsumi, Toshiaki
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container_issue 4
container_start_page 92
container_title Fujita Medical Journal
container_volume 5
creator Ushimado, Kaori
Kobayashi, Naomi
Hikichi, Masahiro
Tsukamoto, Tetsuya
Kuroda, Makoto
Utsumi, Toshiaki
description Objectives: We investigated and compared clinicopathologic features and subtype distribution of invasive breast cancer among women
doi_str_mv 10.20407/fmj.2019-001
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Subtypes included luminal A (positive for hormone receptors [HR]—estrogen receptor [ER] and/or progesterone receptor [PR]—and negative for human epidermal growth factor receptor 2 [HER2] with low Ki67), luminal B (HER2–) (HR+/HER2–/Ki67High), luminal B (HER2+) (HR+/HER2+), HER2-overexpressing (HR–/HER2+), and triple negative (ER–/PR–/HER2–).Results: Breast cancers in younger women had unfavorable clinicopathologic characteristics, including larger tumors and more frequent node involvement. Subtypes among the 1,130 tumors were luminal A: 36.4%, luminal B (HER2–): 35.0%, luminal B (HER2+): 7.5%, HER2-overexpressing: 7.1%, and triple negative: 14.0%. The age groups significantly differed in subtype distribution (P&lt;0.001). Luminal A subtype was more common in the older group (38.5%) than the younger group (16.2%), and luminal B (HER2–) was more common in the younger group (52.2%) than in the older group (33.2%; P&lt;0.001).Conclusions: Breast cancers in women younger than 40 years have unfavorable clinicopathologic characteristics and are more likely to be luminal B (HER2–) and less likely to be luminal A than breast cancers in older women.</description><identifier>ISSN: 2189-7247</identifier><identifier>EISSN: 2189-7255</identifier><identifier>DOI: 10.20407/fmj.2019-001</identifier><identifier>PMID: 35111509</identifier><language>eng</language><publisher>Japan: Fujita Medical Society</publisher><subject>Breast cancer ; Clinicopathologic characteristics ; Original ; Subtype ; Young woman</subject><ispartof>Fujita Medical Journal, 2019, Vol.5(4), pp.92-97</ispartof><rights>2019 This is an Open access article distributed under the Terms of Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.</rights><rights>2019</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8766238/pdf/$$EPDF$$P50$$Gpubmedcentral$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC8766238/$$EHTML$$P50$$Gpubmedcentral$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35111509$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ushimado, Kaori</creatorcontrib><creatorcontrib>Kobayashi, Naomi</creatorcontrib><creatorcontrib>Hikichi, Masahiro</creatorcontrib><creatorcontrib>Tsukamoto, Tetsuya</creatorcontrib><creatorcontrib>Kuroda, Makoto</creatorcontrib><creatorcontrib>Utsumi, Toshiaki</creatorcontrib><title>Differences in clinicopathologic features and subtype distribution of invasive breast cancer between women older and younger than 40 years</title><title>Fujita Medical Journal</title><addtitle>FMJ</addtitle><description>Objectives: We investigated and compared clinicopathologic features and subtype distribution of invasive breast cancer among women &lt;40 and ≥40 years of age.Methods: We retrospectively compared clinicopathologic characteristics and subtype distribution of invasive breast cancer in women &lt;40 and ≥40 years of age, in a cohort of 1,130 patients. Subtypes included luminal A (positive for hormone receptors [HR]—estrogen receptor [ER] and/or progesterone receptor [PR]—and negative for human epidermal growth factor receptor 2 [HER2] with low Ki67), luminal B (HER2–) (HR+/HER2–/Ki67High), luminal B (HER2+) (HR+/HER2+), HER2-overexpressing (HR–/HER2+), and triple negative (ER–/PR–/HER2–).Results: Breast cancers in younger women had unfavorable clinicopathologic characteristics, including larger tumors and more frequent node involvement. Subtypes among the 1,130 tumors were luminal A: 36.4%, luminal B (HER2–): 35.0%, luminal B (HER2+): 7.5%, HER2-overexpressing: 7.1%, and triple negative: 14.0%. The age groups significantly differed in subtype distribution (P&lt;0.001). Luminal A subtype was more common in the older group (38.5%) than the younger group (16.2%), and luminal B (HER2–) was more common in the younger group (52.2%) than in the older group (33.2%; P&lt;0.001).Conclusions: Breast cancers in women younger than 40 years have unfavorable clinicopathologic characteristics and are more likely to be luminal B (HER2–) and less likely to be luminal A than breast cancers in older women.</description><subject>Breast cancer</subject><subject>Clinicopathologic characteristics</subject><subject>Original</subject><subject>Subtype</subject><subject>Young woman</subject><issn>2189-7247</issn><issn>2189-7255</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNpVkk2PFCEQhjtG427WPXo1HL2MAt3QzcVo1q9NNvGiZ1INRQ-THhiBns38BX-1jLM7cQ_Am6q3ngpQTfOa0XecdrR_77abqphaUcqeNZecDWrVcyGen3XXXzTXOW8opZx1lEv2srloBWNMUHXZ_PnsncOEwWAmPhAz--BN3EFZxzlO3hCHUJZUsxAsyctYDjsk1ueS_LgUHwOJrlbuIfs9kjEh5EIMVGAiI5Z7xEDu47bucbY1dsQc4hKmqssaAukoOSCk_Kp54WDOeP1wXjW_vn75efN9dffj2-3Np7uV7aQaVk4Ig6rlKEZmoadDCx0oRVXv-OAsOnTMKt4LlGiEGVRrHUjqesEVSs7aq-b2xLURNnqX_BbSQUfw-l8gpklDKt7MqK0czNDx-gQjdG0nRmyZ5a5l0jg7OlVZH06s3TJu0RoMJcH8BPo0E_xaT3Gvh15K3g4V8PYBkOLvBXPRW58NzjMEjEvWXHLBZc_k0frm_17nJo-fWQ0fT4ZNLjDh2fB4mzosWuiuruPI6Doy55RZQ9IY2r9d972P</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Ushimado, Kaori</creator><creator>Kobayashi, Naomi</creator><creator>Hikichi, Masahiro</creator><creator>Tsukamoto, Tetsuya</creator><creator>Kuroda, Makoto</creator><creator>Utsumi, Toshiaki</creator><general>Fujita Medical Society</general><scope>NPM</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>20190101</creationdate><title>Differences in clinicopathologic features and subtype distribution of invasive breast cancer between women older and younger than 40 years</title><author>Ushimado, Kaori ; Kobayashi, Naomi ; Hikichi, Masahiro ; Tsukamoto, Tetsuya ; Kuroda, Makoto ; Utsumi, Toshiaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-d4698-f55ce932e5b1da7083a4a99097f28fdefef1d9275e6ec5c893dfa60f7529e6213</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Breast cancer</topic><topic>Clinicopathologic characteristics</topic><topic>Original</topic><topic>Subtype</topic><topic>Young woman</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ushimado, Kaori</creatorcontrib><creatorcontrib>Kobayashi, Naomi</creatorcontrib><creatorcontrib>Hikichi, Masahiro</creatorcontrib><creatorcontrib>Tsukamoto, Tetsuya</creatorcontrib><creatorcontrib>Kuroda, Makoto</creatorcontrib><creatorcontrib>Utsumi, Toshiaki</creatorcontrib><collection>PubMed</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>Directory of Open Access Journals</collection><jtitle>Fujita Medical Journal</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ushimado, Kaori</au><au>Kobayashi, Naomi</au><au>Hikichi, Masahiro</au><au>Tsukamoto, Tetsuya</au><au>Kuroda, Makoto</au><au>Utsumi, Toshiaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Differences in clinicopathologic features and subtype distribution of invasive breast cancer between women older and younger than 40 years</atitle><jtitle>Fujita Medical Journal</jtitle><addtitle>FMJ</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>5</volume><issue>4</issue><spage>92</spage><epage>97</epage><pages>92-97</pages><issn>2189-7247</issn><eissn>2189-7255</eissn><abstract>Objectives: We investigated and compared clinicopathologic features and subtype distribution of invasive breast cancer among women &lt;40 and ≥40 years of age.Methods: We retrospectively compared clinicopathologic characteristics and subtype distribution of invasive breast cancer in women &lt;40 and ≥40 years of age, in a cohort of 1,130 patients. Subtypes included luminal A (positive for hormone receptors [HR]—estrogen receptor [ER] and/or progesterone receptor [PR]—and negative for human epidermal growth factor receptor 2 [HER2] with low Ki67), luminal B (HER2–) (HR+/HER2–/Ki67High), luminal B (HER2+) (HR+/HER2+), HER2-overexpressing (HR–/HER2+), and triple negative (ER–/PR–/HER2–).Results: Breast cancers in younger women had unfavorable clinicopathologic characteristics, including larger tumors and more frequent node involvement. Subtypes among the 1,130 tumors were luminal A: 36.4%, luminal B (HER2–): 35.0%, luminal B (HER2+): 7.5%, HER2-overexpressing: 7.1%, and triple negative: 14.0%. The age groups significantly differed in subtype distribution (P&lt;0.001). Luminal A subtype was more common in the older group (38.5%) than the younger group (16.2%), and luminal B (HER2–) was more common in the younger group (52.2%) than in the older group (33.2%; P&lt;0.001).Conclusions: Breast cancers in women younger than 40 years have unfavorable clinicopathologic characteristics and are more likely to be luminal B (HER2–) and less likely to be luminal A than breast cancers in older women.</abstract><cop>Japan</cop><pub>Fujita Medical Society</pub><pmid>35111509</pmid><doi>10.20407/fmj.2019-001</doi><tpages>6</tpages><oa>free_for_read</oa></addata></record>
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subjects Breast cancer
Clinicopathologic characteristics
Original
Subtype
Young woman
title Differences in clinicopathologic features and subtype distribution of invasive breast cancer between women older and younger than 40 years
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