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Table 4 Comparisons between patients with small internal mammary lymph nodes (< 1.0 cm) and patients with large internal mammary lymph node (≥1.0 cm)

From: Optimal radiotherapy for patients with internal mammary lymph node metastasis from breast cancer

Characteristics

Number of patients (%)

p-value

IMN size < 1.0 cm,(n = 42)

IMN size ≥1.0 cm,(n = 42)

Age

≤40 years

20 (47.6%)

18 (42.9%)

0.827

> 40 years

22 (52.4%)

24 (57.1%)

Histologic grade

1–2

23 (54.8%)

22 (52.4%)

0.638

3

13 (31.0%)

17 (40.5%)

Subtypes1)

Non-TNBC

29 (69.0%)

25 (59.5%)

0.495

TNBC

13 (31.0%)

17 (40.5%)

cT stages

1–2

23 (54.8%)

24 (57.1%)

1.000

3–4

19 (45.2%)

18 (42.9%)

cN stages

2b or 3b

30 (71.4%)

33 (78.6%)

0.615

3c

12 (28.6%)

9 (21.4%)

Malignant cells on FNABx of the IMN

(−) or unknown

22 (52.4%)

22 (52.4%)

1.000

(+)

20 (47.6%)

20 (47.6%)

Extent of IMN

Single ICS

20 (47.6%)

17 (40.5%)

0.661

Multiple ICS

22 (52.4%)

25 (59.5%)

Neoadjuvant chemotherapy

Performed

29 (69.0%)

37 (88.1%)

0.061

Not performed

13 (31.0%)

5 (11.9%)

Primary surgery

BCS

20 (47.6%)

20 (47.6%)

1.000

Mastectomy

22 (52.4%)

22 (52.4%)

Axillary surgery

ALND

39 (92.9%)

35 (83.3%)

0.313

SLNB

3 (7.1%)

7 (16.7%)

EQD2 of the IMN2)

50.0–63.5 Gy

20 (47.6%)

15 (35.7%)

0.376

63.6–70.4 Gy

22 (52.4%)

27 (64.3%)

  1. 1)TNBC was defined as tumors that were negative for estrogen receptor, progesterone receptor, and human epidermal growth factor receptor 2 on immunohistochemical staining of the breast tumor
  2. 2)Radiotherapy dose was calculated using the EQD2 assuming the α/β ratio of 3.5 Gy
  3. Abbreviations: IMN Internal mammary node; TNBC Triple-negative breast cancer, FNABx Fine needle aspiration biopsy, ICS Intercostal space, BCS Breast conserving surgery, ALND Axillary lymph node dissection, SLNB Sentinel lymph node biopsy, EQD2 Biologically equivalent dose in 2 Gy fractions