Skip to main content

Table 2 Local control (LC) outcomes according to clinical factors

From: Impact of high dose radiotherapy for breast tumor in locoregionally uncontrolled stage IV breast cancer: a need for a risk-stratified approach

  

N (%)

2-year LC

P-value

Entire

  

49.4%

 

Age

 < 45 years

33 (24.8)

48.7%

0.830

 

 ≥ 45 years

100 (75.2)

50.0%

 

Subtype

HR positive/HER2 negative

48 (36.1)

56.0%

0.210

 

HR positive/HER2 positive

19 (14.3)

34.3%

 
 

HR negative/HER2 positive

19 (14.3)

30.0%

 
 

TN

47 (35.3)

57.1%

 

Treatment era

2010–2015

52 (39.1)

42.6%

0.087

 

2016–2021

81 (60.9)

55.8%

 

Previous systemic treatments

 ≤ 2 lines

72 (54.1)

62.7%

 < .001

 > 2 lines

61 (45.9)

27.6%

 

Interval from diagnosis to PRT

 ≤ 1 year

65 (48.9)

58.5%

0.053

 > 1 year

68 (51.1)

38.9%

 
   

No vs. Yes

 

Disease extent at PRT

LN

61 (45.9)

55.7% vs. 42.5%

0.110

 

Liver

26 (19.5)

50.4% vs. 44.1%

0.260

 

Lung

59 (44.4)

46.2% vs. 54.9%

0.810

 

Bone

72 (54.1)

52.1% vs. 48.5%

0.860

 

Brain

5 (3.8)

50.9% vs. 0.0%

 < .001

Number of metastases

Oligometastasis (≤ 5 lesions)

13 (9.8)

66.7%

0.330

 

Polymetastasis (> 5 lesions)

120 (90.2)

47.6%

 

Status

De novo stage IV

30 (22.6)

64.2%

0.076

 

Progressive stage IV

76 (57.1)

46.1%

 
 

Recurrent stage IV

27 (20.3)

45.1%

 

Disease burden (outside breast)

SD

104 (78.2)

54.1%

0.003

PD or mixed response

29 (21.8)

24.4%

 

Reason for breast PRT

Symptom (bleeding, pain)

51 (38.3)

62.3%

0.180

 

Radiologic progression

82 (61.7)

42.1%

 

Concurrent treatment

No

50 (37.6)

54.3%

0.360

 

Endocrine therapy

27 (20.3)

59.2%

 
 

Anti-HER2 therapy

10 (7.5)

50.0%

 
 

Cytotoxic chemotherapy

46 (34.6)

34.8%

 

Gross tumor volume

 < 1260 cm3

107 (80.5)

50.2%

0.110

 

 ≥ 1260 cm3

26 (19.5)

46.2%

 

PRT dose (EQD2)

 < 63 Gy

72 (54.1)

42.9%

0.010

 

 ≥ 63 Gy

61 (45.9)

67.7%

 

PRT modality

3D-CRT

74 (55.6)

44.5%

0.330

 

IMRT/Proton

59 (44.4)

56.5%

 
  1. HR Hormone receptor, HER2 Human epidermal growth factor receptor 2, TN Triple-negative, LN Lymph node, SD Stable disease, PD Progressive disease, PRT Palliative radiation therapy, EQD2 Equivalent dose in 2 Gy fractions (α/β = 3.5), 3D-CRT, 3 dimensional-conformal radiation therapy; IMRT, intensity-modulated radiation therapy