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Differences in clinicopathological characteristics, treatment, and survival outcomes between older and younger breast cancer patients
Differences in clinicopathological characteristics, treatment, and survival outcomes between older and younger breast cancer patients
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Differences in clinicopathological characteristics, treatment, and survival outcomes between older and younger breast cancer patients
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Differences in clinicopathological characteristics, treatment, and survival outcomes between older and younger breast cancer patients
Differences in clinicopathological characteristics, treatment, and survival outcomes between older and younger breast cancer patients
Journal Article

Differences in clinicopathological characteristics, treatment, and survival outcomes between older and younger breast cancer patients

2021
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Overview
In developing countries, breast cancer is diagnosed at a much younger age. In this study we investigate the dichotomies between older and young breast cancer patients in our region. The study involved two cohorts; older patients (≥ 65 years, n = 553) and younger ones (≤ 40 years, n = 417). Statistical models were used to investigate the associations between age groups, clinical characteristics and treatment outcomes. Compared to younger patients, older patients were more likely to present with advanced-stage disease (20.6% vs. 15.1%, p  = .028). However, among those with non-metastatic disease, younger patients tended to have more aggressive pathological features, including positive axillary lymph nodes (73.2% vs. 55.6%, p  < .001), T-3/4 (28.2% vs. 13.8%, p  < .001) and HER2-positive disease (29.3% vs. 16.3%, p  < .001). The 5-year overall survival (OS) rate was significantly better for the younger (72.1%) compared to the older (67.6%), p  = .035. However, no significant difference was observed in disease-free survival (DFS) between the two groups.In conclusion, younger patients with breast cancer present with worse clinical and pathological features, albeit a better OS rate. The difference in DFS between the two groups was not insignificant, suggesting that older women were more likely to die from non-cancer related causes.