Research Article

Systemic Therapy Combined with Locoregional Therapy Improved Survival in Oligometastatic Breast Cancer: A Single-Center Retrospective Cohort Study

Table 1

Demographics and clinical characteristics.

VariableST to LRT groupLRT to ST groupST alone group value

Age0.131
 Median(range)43.0 (22-57)46.5 (28-83)45.0 (23-70)
ECOG.ps [ (%)]0.775
 015 (53.6)28 (63.6)69 (54.3)
 113 (46.4)16 (36.4)56 (44.1)
 20 (0.0)0 (0.0)2 (1.6)
Stage at initial diagnosis (UICC 7th) [ (%)]0.553
 I0 (0.0)2 (4.5)7 (5.5)
 II14 (50.0)23 (52.3)49 (38.6)
 III12 (42.9)14 (31.8)59 (46.5)
 Unknown2 (7.1)5 (11.4)12 (9.4)
Pathologic type [ (%)]0.185
 IDC23 (82.1)37 (84.1)114 (89.8)
 ILC2 (7.1)2 (4.5)1 (0.8)
 Unknown or others3 (10.7)5 (11.4)12 (9.4)
Immunohistochemical subtype [ (%)]0.058
 HR+HER2-7 (25.0)18 (40.9)31 (24.4)
 HR+HER2+11 (39.3)7 (15.9)23 (18.1)
 HR-HER2+6 (21.4)11 (25.0)30 (23.6)
 TNBC4 (14.3)5 (11.4)29 (22.8)
Numbers of metastatic lesions [ (%)]<0.001
 111 (39.3)21 (47.7)10 (7.9)
 2-310 (35.7)10 (22.7)32 (25.2)
 4-57 (25.0)13 (29.5)85 (66.9)
Metastatic site [ (%)]
 Local skin or chest6 (21.4)13 (29.5)22 (17.3)0.223
 Lymph node11 (39.3)16 (36.4)43 (33.9)0.847
 Lung3 (10.7)4 (9.1)45 (35.4)<0.001
 Liver4 (14.3)5 (11.4)32 (25.2)0.099
 Bone12 (42.9)11 (25.0)35 (27.6)0.215
 Others0 (0.0)3 (6.8)6 (4.7)0.463
Previous neoadjuvant/adjuvant chemotherapy [ (%)]0.380
 Anthracycline alone10 (35.7)21 (47.7)53 (41.7)
 Taxane alone0 (0.0)2 (4.5)2 (1.6)
 Anthracycline+taxane10 (35.7)11 (25.0)50 (39.4)
 None or unknown8 (28.6)10 (22.7)22 (17.3)
Previous adjuvant endocrine therapy [ (%)]0.232
 TAM/TOR13 (46.4)21 (47.7)40 (31.5)
 AI1 (3.6)3 (6.8)4 (3.1)
 None14 (50.0)19 (43.2)79 (62.2)
 Unknown or others0 (0.0)1 (2.3)4 (3.1)
Previous adjuvant anti-HER2 therapy [ (%)]0.728
 Trastuzumab0 (0.0)0 (0.0)3 (2.4)
 None or unknown28 (100)44 (100)124 (97.6)

Abbreviations: ST to LRT: systemic therapy followed by locoregional therapy; LRT to ST: locoregional therapy followed by systemic therapy; ST: systemic therapy; ECOG.ps: Eastern Cooperative Oncology Group performance status; UICC 7th: Union for International Cancer Control, the seventh edition; IDC: invasive ductal carcinoma; ILC: invasive lobular carcinoma; HR: hormone receptor; HER2: human epidermal growth factor receptor 2; TNBC: triple negative breast cancer; TAM: tamoxifen; TOR: toremifene; AI: aromatase inhibitor.