The clinicopathological evaluation of the breast cancer patients with brain metastases: predictors of survival.

摘要

We aimed to define the clinicopathologic characteristics of breast cancer (BC) patients with brain metastasis (BM) and to investigate the effect of these parameters on survival. Seventy-nine patients diagnosed with BC and symptomatic BM between 1995 and 2011 were retrospectively evaluated. The relationship between clinicopathological features and outcome was investigated. Triple negative patients had the shortest overall survival (OS) while HR(+)HER2(-) patients had the longest (48.2? vs 88.2?months, 95?% CI; p?=?0.33). Multivariate analysis demonstrated that luminal A subtype was the strongest positive predictor of prolonged OS (HR 0.48, 95?% CI 0.28-0.84; p?=?0.01), while poor performance status (PS) (ECOG 3-4) at BM was the strongest predictor of shortened OS (HR 1.92, 95?% CI 1.21-3.06; p?=?0.006). The patients with early-stage BC at diagnosis had BM later than the advanced-staged patients (47?months for Stage I-II disease, 23.2?months for Stage III-IV disease, 95?% CI; p?=?0.002). Median survival after BM was 10.2?months (6.4-14?months, 95?% CI). The patients with liver or skin metastases had significantly shorter survival than the patients with only BM (4.8 vs 17?months, p?