Research Article

The Value of the 8th Edition of American Joint Committee on Cancer Pathological Prognostic Staging on the Selection of Postmastectomy Radiotherapy for T1–2N1 Breast Cancer

Table 1

Clinicopathological characteristics of the patients with and without PMRT before PSM and after PSM.

VariablesBefore PSM (%)After PSM (%)
TotalPMRTNon-PMRTTotalPMRTNon-PMRT

Age (years)
  <50936 (58.0)470 (63.2)466 (53.5)<0.001765 (61.3)377 (60.4)388 (63.2)0.523
  ≥50679 (42.0)274 (36.8)405 (46.5)483 (38.7)247 (39.6)236 (37.8)
Menopausal status
 Premenstrual968 (60.0)498 (66.9)476 (57.6)<0.001794 (63.6)396 (63.5)398 (63.8)0.993
 Postmenstrual637 (40.0)246 (33.1)395 (45.4)454 (36.4)228 (36.5)226 (36.2)
Histological subtype
 Infiltrating ductal carcinoma1563 (96.8)718 (96.5)845 (97.0)0.8041205 (96.6)604 (96.8)601 (96.3)0.969
 Lobular carcinoma13 (0.8)7 (0.9)6 (0.7)11 (0.9)5 (0.8)6 (1.0)
 Other39 (2.4)19 (2.6)20 (2.3)32 (2.5)15 (2.4)17 (2.7)
Pathological grade
 Well differentiated44 (2.7)16 (2.2)28 (3.2)0.10033 (2.6)16 (2.6)17 (2.7)0.821
 Moderately differentiated731 (45.3)322 (43.3)409 (47.0)564 (45.2)277 (44.4)287 (46.0)
 Poorly differentiated/undifferentiated840 (52.0)406 (54.6)434 (49.8)651 (52.2)331 (53.0)320 (51.3)
Tumor stage
 T1567 (35.1)241 (32.4)326 (37.4)0.035444 (35.6)207 (33.2)237 (38.0)0.076
 T21048 (64.9)503 (67.6)545 (62.6)804 (64.4)417 (66.8)387 (62.0)
ER status
 Positive1229 (76.1)548 (73.7)681 (78.2)0.033927 (74.3)452 (72.4)475 (76.1)0.136
 Negative386 (23.9)196 (26.3)190 (21.8)321 (25.7)172 (27.6)149 (23.9)
PR status
 Positive1141 (70.7)522 (70.2)619 (71.1)0.69868 (69.6)419 (67.1)449 (72.0)0.065
 Negative474 (29.3)222 (29.8)252 (28.9)380 (30.4)205 (32.9)175 (28.0)
HER2 status
 Positive470 (29.1)239 (32.1)231 (26.5)0.013386 (30.9)201 (32.2)185 (29.6)0.741
 Negative1145 (70.9)505 (67.9)640 (73.5)862 (69.1)423 (67.8)439 (70.4)
Number of involved LN
 11023 (63.3)382 (51.3)641 (73.6)<0.001777 (62.3)380 (60.9)397 (63.6)0.597
 2375 (23.2)221 (29.7)154 (17.7)311 (24.9)160 (25.6)151 (24.2)
 3217 (13.5)141 (19.0)76 (8.7)160 (12.8)84 (13.5)76 (12.2)
The 7th AJCC staging
 IIA567 (35.1)241 (32.4)326 (37.4)0.035444 (35.6)207 (33.2)237 (38.0)0.076
 IIB1048 (64.9)503 (67.6)545 (62.6)804 (64.4)417 (66.8)387 (62.0)
The 8th AJCC staging
 IA314 (19.4)135 (18.1)179 (20.6)0.434250 (20.1)111 (17.8)139 (22.3)0.267
 IB583 (36.1)270 (36.3)313 (35.9)460 (36.9)237 (38.0)223 (35.7)
 IIA362 (22.4)162 (21.8)200 (23.0)248 (19.9)121 (19.4)127 (20.4)
 IIB253 (15.7)123 (16.5)130 (14.9)199 (15.9)105 (16.8)94 (15.1)
 IIIA103 (6.4)54 (7.3)49 (5.6)91 (7.2)50 (8.0)41 (6.6)
Adjuvant chemotherapy regimen
 Anthracycline-based176 (10.9)124 (14.2)52 (7.0)<0.001133 (10.7)51 (8.2)82 (13.1)0.026
 Taxane-based233 (14.4)148 (17.0)85 (11.4)162 (13.0)77 (12.3)85 (13.6)
 Anthracycline and taxane combination-based1195 (74.0)593 (68.1)602 (80.9)946 (75.7)492 (78.8)454 (72.8)
 Other11 (0.7)6 (0.7)5 (0.7)7 (0.6)4 (0.6)3 (0.5)
Endocrine therapy
 Yes1212 (75.0)569 (76.5)643 (73.8)0.219916 (73.4)465 (74.5)451 (72.3)0.370
 No443 (25.0)175 (23.5)268 (26.2)332 (26.6)159 (25.5)173 (27.7)
Targeted therapy
 Yes204 (12.6)117 (15.7)87 (10.0)0.001174 (13.9)105 (16.8)69 (11.1)0.003
 No1411 (87.4)627 (84.3)784 (90.0)1074 (86.1)519 (83.2)555 (88.9)