Patterns of metastasis in women with metachronous contralateral breast cancer
Menée sur une cohorte de 8 478 femmes atteintes d'un cancer du sein traité entre 1975 et 2006, cette étude monocentrique évalue, selon la latéralité de la tumeur primitive ou le délai de récidive controlatérale métachrone, l'incidence des métastases par type d'organe
Background :The understanding of metastatic patterns after metachronous contralateral breast cancer (CBC) may help determine the biological nature of CBC. Methods : A cohort of 8478 women with breast cancer treated at Guy’s and St Thomas’ NHS Foundation Trust between 1975 and 2006 were studied. Organ-specific 5-year cumulative incidence and incidence rate ratios were assessed for women diagnosed with unilateral breast cancer (UBC), CBC within 5 years and CBC more than 5 years of the initial diagnosis. Results : Women diagnosed with CBC within 5 years had a higher incidence of metastases in all organs compared with UBC. Women with a short interval time to CBC developed metastasis more rapidly and were more likely to develop visceral and distant cutaneous metastases compared with bone metastasis. Conclusion : These findings explain poor prognosis of women with early occurring CBC and suggest that some of these CBCs are indicators of aggressive and/or systemic disease.