1. Trends in surgery and survival for T1-T2 male breast cancer: A study from the National Cancer Database
- Author
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Rashi, Singh, Lifen, Cao, Anuja L, Sarode, Michael, Kharouta, Robert, Shenk, and Megan E, Miller
- Subjects
Male ,Axilla ,Humans ,Lymph Node Excision ,Female ,Breast Neoplasms ,Surgery ,General Medicine ,Mastectomy, Segmental ,Mastectomy ,Breast Neoplasms, Male ,Neoplasm Staging - Abstract
Despite evidence that early-stage male breast cancer (MBC) can be treated the same as in females, we hypothesized that men undergo more extensive surgery.Patients with clinical T1-2 breast cancer were identified in the National Cancer Database 2004-2016. Trends in surgery type and overall survival were compared between sexes.Of 9,782 males and 1,078,105 females, most were cN0 with AJCC stage I/II disease. Unilateral mastectomy was most common in men (67.1% vs. 24.1%, p 0.001) and partial mastectomy in women (64.7% vs. 26.4%, p 0.001), with no significant change over time. Over 1/3 of men received ALND in 2016. While overall survival was superior in females (HR 0.83, 95% CI 0.73-0.94, p = 0.003), partial mastectomy was associated with a 42% reduction in mortality risk for males (HR 0.58, 95% CI 0.4-0.8, p = 0.003).De-escalation of surgery could be considered for MBC to improve survival and align with current standards of care.
- Published
- 2023
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