Observational analysis of clinical and pathological characteristics and their prognostic impact in Mexican patients with breast cancer: A multi-center study

Article type: Research Article

Authors: Gozalishvilli-Boncheva, Anna^a | Gonzalez-Espinoza, Iván R.^b; | Castro-Ponce, Abraham^b | Bravo-Gutiérrez, Omar A.^b | Juárez-Salazar, Gabriela^b | Montes-de-Oca-Moreda, Ricardo I.^b | Aguirre-Flores, Evelyn^b | Coyotl-Huexotl, Marisela^b | Orozco-Luis, Juan^b | Chiquillo-Domínguez, Mariana^b | Garibay-Díaz, Julio C.^c | Aranda-Claussen, Jorge E.^d | Ponce-de-León, Eric A.^b | Sánchez-Sosa, Sergio^b | Sabaté-Fernández, Mónica^b | García-Reyna, Juan C.^b | Cordero-Vargas, Carlos^b | González-Blanco, María J.^b | Aguilar-Priego, José M.^b | Sánchez-Fernández, Norberto J.^b | Cortés-García, Carlos A.^b | González-Lozada, Laura E.^b | Miguel-Cruz, Enrique^b | Ceja-Utrera, Francisco J.^b | Hernández-Garcia, Maria S.^a | Piña-Vazquez, Mirielly^a | Aguilar-Jiménez, Carmen^b

Affiliations: [a] Registro de Cáncer de Baja California Sur, La Paz. B.C.S, México | [b] Centro oncológico integral Hospital Ángeles Puebla, Puebla, México | [c] Hospital MAC, Tlaxcalancingo, Puebla, México | [d] Hospital Betania, Puebla, Puebla, México

Correspondence: [*] Corresponding author: Iván R. Gonzalez-Espinoza, Centro oncológico integral Hospital Ángeles. Av. Kepler, 2143, 72190 Puebla, México. Tel.: +52 2227094966; E-mail: [email protected]

Abstract: Breast cancer is the most incidental and deadly neoplasm worldwide; in Mexico, very few epidemiologic reports have analyzed the pathological features and its impact on their clinical outcome. Here, we studied the relation between pathological features and the clinical presentation at diagnosis and their impact on the overall and progression-free survival of patients with breast cancer. For this purpose, we collected 199 clinical records of female patients, aged at least 18 years old (y/o), with breast cancer diagnosis confirmed by biopsy. We excluded patients with incomplete or conflicting clinical records. Afterward, we performed an analysis of overall and progression-free survival and associated risks. Our results showed an average age at diagnosis of 52 y/o (24–85), the most common features were: upper outer quadrant tumor (32%), invasive ductal carcinoma (76.8%), moderately differentiated (44.3%), early clinical stages (40.8%), asymptomatic patients (47.8%), luminal A subtype (47.8%). Median overall survival was not reached, but median progression-free survival was 32.2 months (29.75–34.64, CI 95%) associated risk were: clinical stage (p < 0.0001) symptomatic presentation (p = 0.009) and histologic grade (p = 0.02). Therefore, we concluded that symptom presence at diagnosis impacts progression-free survival, and palpable symptoms are related to an increased risk for mortality.

Keywords: Breast cancer, Mexican population, clinical presentation, prognostic impact

DOI: 10.3233/BD-230025

Journal: Breast Disease, vol. 42, no. 1, pp. 305-313, 2023