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Table 7 Prognostic factors of overall survival

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

Characteristics

5-year OS

Univariate

p-value

Multivariate

p-value

HR

(95% CI)

Age

≤40 years (n = 38)

94.6%

0.007

0.009

0.132(0.029–0.609)

> 40 years (n = 46)

75.4%

Tumor subtype1)

Non-TNBC (n = 54)

92.0%

0.016

0.003

0.167(0.051–0.548)

TNBC (n = 30)

70.0%

cT stages

1–2 (n = 47)

87.0%

0.232

0.067

3.049(0.925–10.054)

3–4 (n = 37)

80.1%

cN stages

2b or 3b (n = 63)

83.3%

0.492

3c (n = 21)

85.7%

Malignant cells on FNABx of the IMN

(−) or unknown (n = 44)

84.5%

0.557

(+) (n = 40)

83.4%

Extent of IMN

Single ICS (n = 37)

89.1%

0.045

0.845

0.890(0.275–2.880)

Multiple ICS (n = 47)

79.9%

IMN long diameter

< 1.0 cm (n = 42)

92.7%

0.053

0.052

1.621(0.318–8.255)

≥1.0 cm (n = 42)

75.7%

Neoadjuvant chemotherapy

Performed (n = 66)

82.9%

0.493

Not performed (n = 18)

87.8%

Axillary surgery

ALND (n = 74)

83.2%

0.556

SLNB (n = 10)

90.0%

EQD2 of the IMN2)

50.0–63.5 Gy (n = 35)

85.3%

0.926

63.6–70.4 Gy (n = 49)

82.8%

  1. 1)TNBC was defined as tumors that were negative for the 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: OS Overall survival, TNBC Triple-negative breast cancer, FNABx Fine needle aspiration biopsy, IMN Internal mammary node, ICS Intercostal space, ALND Axillary lymph node dissection, SLNB Sentinel lymph node biopsy, HR Hazard ratio, CI Confidence interval, EQD2 Biologically equivalent dose in 2 Gy fractions