Abstract
ObjectıvesAxillary lymph node involvement is considered to be one of the most important factors in the staging and survival of breast cancer. Recurrences in women with a negative axillary condition detected as a result of long patient follow-up have revealed the importance of other prognostic factors and many studies have begun. The aim of this study is to evaluate breast cancer patients and to investigate other factors affecting breast cancer.Materials and methodsPatients with breast cancer who were operated in our clinic between January 2005 and June 2007 were included in the study. Demographic characteristics, tumor size, lymph node involvement, grade, histological type, the status of estrogen and progesterone receptors (ER and PR), type of surgery performed, and cerb-B2 receptor status were recorded retrospectively.ResultsThe mortality rate of the ER (+) PR (+) group was significantly lower than that of the ER (-) PR (-) group (p<0.05). There was no statistically significant difference between the ER (+) PR (+) cases and the mortality rates of any positive cases (p>0.05). There was a statistically significant difference between survival rates according to cerb-B2 status (p<0.01); cerb-B2 was positive in all patients who died. In cerb-B2 positive cases, there was a statistically significant difference between survival rates according to the tumor stages (p <0.05).ConclusionAs a result; preoperative and postoperative staging of all breast cancer patients who applied to surgery clinics should be performed. Prognostic factors should be determined and patients should be directed to post-surgical treatment according to this information. Axillary lymph involvement, number, tumor size, estrogen receptor, progesterone receptor, and cerb-B2 status are safe markers that can be used to determine prognosis in our series.
Highlights
Breast cancer is the most common malignant tumor among women worldwide
Patients with breast cancer who were operated in our clinic between January 2005 and June 2007 were included in the study
There was a statistically significant difference between survival rates according to cerb-B2 status (p
Summary
Breast cancer is the most common malignant tumor among women worldwide. The most common cause of cancer-related deaths in women is breast cancer [1,2]. Axillary lymphocyte involvement is the most important factor in the staging and survival of breast cancer [5]. Recurrences in breast cancer patients with negative axilla involvement after long patient follow-up revealed the importance of other prognostic factors. New genomic studies provide a comprehensive catalog of genes that accumulate somatic point mutations and small additions (indels) in estrogen receptor-positive (ER+) breast cancer, significant uncertainties remain regarding how these newly discovered mutations relate to disease outcomes [6,7,8]
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