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Clinicopathological Features and Treatment Challenges in Triple Negative Breast Cancer Patients: A Retrospective Cohort Study
Faculty
Medicine
Year:
2021
Type of Publication:
ZU Hosted
Pages:
Authors:
Amira Elwan Mohamed Ahmad
Staff Zu Site
Abstract In Staff Site
Journal:
Turkish Journal of Pathology Turkish Journal of Pathology
Volume:
Keywords :
Clinicopathological Features , Treatment Challenges , Triple Negative Breast
Abstract:
Back ground:The genetic and molecular profiles of triple negative breast carcinoma (TNBC) are elucidated, multiple therapeutic targets have been produced. TNBC with less than 1% androgen receptor (AR) expression may respond to enzalutamide with greater response association in higher levels. A metronomic dose of capecitabine and docetaxel are effective developed drugs for angiogenic process inhibition. Purpose: The study aimed todemonstrate the treatment outcome of triple-negative breast cancer patients in correlation to their clinicopathological features. Materials and Methods:A retrospective cohort study of 80 TNBC patients was conducted. The patients underwent proper observation with thereporting of their treatment and follow-up data. Patients with a metastatic disease, neoadjuvant chemotherapy, follow-up drop or data shortage were excluded from the survival analysis. Results:The study results revealed a significant association between negative androgen expression and younger age ≤35 years, premenopausalstatus, higher grade, extracapsular extension, lymphovascular invasion, Ki 67, and CA15-3 (p=0.003, 0.02, <0.001, 0.001, 0.027, 0.005, 0.009respectively). The three-year overall survival (OS) in patients who received bicalutamide was better than those patients who received capecitabineor docetaxel but of no significance (p=0.46). The three-year disease free survival (DFS) was significantly better in the bicalutamide arm versusthe other two groups (p=0.012). Conclusions:We concluded that extended adjuvant antiandrogen such as bicalutamide and metronomic capecitabine are well tolerated withaccepted compliance and affordability compared to docetaxel and are warranted for problem-solving and better DFS and OS in some TNBCpatients.
Author Related Publications
Amira Elwan Mohamed Ahmad, "Outcome of radiotherapy using prone versus supine treatment position in breast cancer patients with conservative surgery", Cancer biology, 2016
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Amira Elwan Mohamed Ahmad, "Prognostic Value of Aquaporin-3, Vimentin and E-cadherin Expressions in Invasive Breast Carcinoma: An Immunohistochemical Study", Middle East Journal of Cancer, 2020
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Amira Elwan Mohamed Ahmad, "Clinicopathological and Prognostic Value of Immunohistochemical Expression of CD44 (Stem Cell Marker) and Ki67 in Serous Ovarian Cancer", clinical and diagnostic research, 2019
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Amira Elwan Mohamed Ahmad, "Prognostic significance of peroxisome proliferator-activated receptor-gamma (PPAR-γ) and Cyclin D1 in bladder urothelial carcinoma", Zagazig University medical jou, 2020
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Amira Elwan Mohamed Ahmad, "Radical Conformal Radiotherapy versus Two-Dimensional Radiotherapy in Oligometastatic Breast Cancer Patients: Response, Toxicity, and Survival", Zagazig university medical journal, 2021
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Department Related Publications
Rehab Hemida Elsayed Muhammad, "Snail-1, ALDH1, and claudin-1 tissue protein expression in patients with colorectal cancer: clinicopathological and prognostic implications تعبير بروتين الأنسجــة SNAIL-1و ALDH1 و claudin-1 في مرضى سرطان القولون والمستقيم: الآثار الإكلينيكية والتنبؤية", Egyptian Journal of Pathology, 2019
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Rehab Hemida Elsayed Muhammad, "Pelvic Lymphadenectomy, and Pelvic and Para-Aortic Lymphadenectomy Versus No Lymphadenectomy for Endometrial Cancer إستئصال العقد اللمفية في الحوض ، وإستئصال العقد اللمفية في الحوض والشريان الأورطي إستئصال العقد اللمفية مقابل عدم إستئصال العقد اللمفية لسرطان الرحم", JOURNAL OF GYNECOLOGIC SURGERY, 2019
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Rehab Hemida Elsayed Muhammad, "Prognostic Significances of NEDD-9 and FOXL-1 Expression in Intestinal Type Gastric Carcinoma: an Immunohistochemical Study الدلالات التنبؤية لتعبير NEDD-9 و FOXL-1 في سرطان المـعـدة من النوع المعوي: دراسة كيميائية مناعية", Journal of Gastrointestinal Cancer, 2020
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Rehab Hemida Elsayed Muhammad, "The value of fertility-sparing surgery for young females with epithelial ovarian cancer: a comparative study قيمة جراحة الحفاظ على الخصوبة للشابات المصابات بسرطان المبيض: دراسة مقارنة", CURR GYNECOL ONCOL, 2021
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Rehab Hemida Elsayed Muhammad, "prOgnOstic and clinicOpathOlOgicalimplicatiOns Of expressiOn Of Beclin-1 and hypOxia-induciBlefactOr 1α in serOus Ovarian carcinOma: an immunOhistOchemical study. الآثار الإنـذارية والإكلينيكية للتعبير عن بروتين بيكلين-1 والعامل المحرض بنقص الأكسجة ألفا 1 في سرطان المبيض الاستسقائي: دراسة كيميائية مناعية", Polish Journal of Pathology, 2021
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