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Research ArticleOriginal Article
Open Access

Clinicopathological characteristics of young versus older patients with breast cancer

A retrospective comparative study from the Madinah region of Saudi Arabia

Abdulkader M. Albasri
Saudi Medical Journal July 2021, 42 (7) 769-775; DOI: https://doi.org/10.15537/smj.2021.42.7.20200750
Abdulkader M. Albasri
From the Department of Pathology, Taibah University, Al-Madinah Al-Munawwarah, Kingdom of Saudi Arabia.
MBBCh, PhD
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    Figure 1

    - The differences in histological subtypes between the younger and older patients (p=0.174). IDC: invasive ductal carcinoma, ILC: invasive lobular carcinoma, DCIS: ductal carcinoma in situ, LCIS: lobular carcinoma in situ

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    Table 1

    - Comparison of clinicopathological features between the young and old patients (≤40 years and >40 years of age) at diagnosis.

    VariablesGroup 1 (≤40 years) n (%)Group 2 (>40 years) n (%)P-value
    Tumor type0.174
    Invasive ductal153 (88.5)458 (85.6) 
    Invasive lobular2 (1.1)33 (6.2) 
    Ductal carcinoma in situ13 (7.5)27 (5) 
    Lobular carcinoma in situ-2 (0.4) 
    Other5 (2.9)15 (2.8) 
    Tumor size0.046
    ≤2 cm23 (16.2)85 (26.6) 
    >2 cm - ≤5cm80 (56.3)162 (50.8) 
    >5 cm39 (27.5)72 (22.6) 
    Histological grading<0.0001
    Grade I13 (8.6)51 (11.2) 
    Grade II55 (36.2)242 (53.5) 
    Grade III84 (55.2)160 (35.3) 
    TNM staging0.047
    Stage 013 (7.7)27 (7.2) 
    Stage I58 (34.3)166 (44.4) 
    Stage II45 (26.6)102 (27.3) 
    Stage III53 (31.4)79 (21.1) 
    Axillary lymph node metastasis0.606
    No81 (60.9)183 (58.3) 
    Yes52 (39.1)131 (41.7) 
    Number of axillary lymph node metastasis0.129
    081 (60.9)183 (58.3)
    1-314 (10.5)45 (14.4)
    4-925 (18.8)39 (12.4)
    ≥1013 (9.8)47 (14.9) 
    Lymphovascular invasion<0.0001
    No49 (32.5)254 (62.6) 
    Yes102 (67.5)152 (37.4) 
    Distant metastases<0.0001
    No51 (35.7)285 (68.2)
    Yes92 (64.3)133 (31.8) 
    Locoregional recurrence0.163
    No73 (66.4)159 (58.7) 
    Yes37 (33.6)112 (41.3) 
    Type of surgery0.150
    Breast conserving surgery19 (66.4)88 (58.7) 
    Mastectomy117 (33.6)366 (41.3) 
    Estrogen receptor (ER) status0.0001
    Negative74 (51.7)145 (34.1) 
    Positive69 (48.3)280 (65.9) 
    Progesterone receptor (PR) status<0.0001
    Negative87 (56.9)148 (32.9) 
    Positive66 (43.1)301 (67.1) 
    Her2neu status0.002
    Negative84 (55.3)294 (69) 
    Positive68 (44.7)132 (31) 
    Tumor subtype<0.0001
    Luminal A32 (21.5)163 (43.1) 
    Luminal B28 (18.8)75 (19.8) 
    Triple negative41 (27.5)50 (13.2) 
    HER2-postive48 (32.2)90 (23.8) 
    In situ component0.441
    Negative87 (61.7)163 (57.8) 
    Positive54 (38.3)119 (42.2) 
    Ki67 expression0.082
    Negative71 (53.4)219 (62) 
    Positive62 (46.6)134 (38) 
    • View popup
    Table 2

    - Sub analysis of estrogen receptor (ER) positive tumors with respect to age, tumor size, tumor grade, lymphovascular invasion, lymph node metastasis, distant metastasis and Ki67 expression.

    Variables≤40 with ER+ve (n=69)>40 with ER+ve (n=280)P-value
    Tumor size0.473
    ≤2 cm10 (14.5)57 (20.4) 
    >2 cm - ≤5 cm47 (68.1)184 (65.7) 
    > 5cm12 (17.4)39 (13.9) 
    Histological grading0.0001
    Grade I4 (5.8)25 (8.9) 
    Grade II32 (46.4)192 (68.6) 
    Grade III33 (47.8)63 (22.5) 
    Axillary lymph node metastasis<0.0001
    No17 (24.6)187 (66.8) 
    Yes52 (75.4)93 (33.2) 
    Lymphovascular invasion0.003
    No11 (15.9)96 (34.3)
    Yes58 (84.1)184 (65.7) 
    Distant metastases0.0008
    No13 (52.0)113 (57.3)
    Yes56 (48.0)167 (42.7) 
    Ki67 expression0.455
    Negative34 (49.3)124 (44.3) 
    Positive35 (50.7)156 (55.7) 
    • Values are expressed as number and percentage (%)

    • View popup
    Table 3

    - Sub analysis of estrogen receptor (ER) negative tumors with respect to age, tumor size, tumor grade, lymphovascular invasion, lymph node metastasis, distant metastasis and Ki67 expression.

    Variables≤40 with ER-ve (n=74)>40 with ER-ve (n=145)P value
    Tumor size0.413
    ≤2 cm12 (16.2)31 (21.4) 
    >2 cm - ≤5 cm55 (74.3)95 (65.5) 
    >5 cm7 (9.5)19 (13.1) 
    Histological grading0.341
    Grade I3 (4.0)4 (2.7) 
    Grade II19 (25.7)51 (35.2) 
    Grade III52 (70.3)90 (62.1) 
    Axillary lymph node metastasis0.021
    No18 (24.3)57 (39.3) 
    Yes56 (75.7)87 (60.7) 
    Lymphovascular invasion0.575
    No12 (16.2)28 (19.3) 
    Yes62 (83.8)117 (80.7) 
    Distant metastases0.890
    No19 (25.7)36 (24.8) 
    Yes55 (74.3)109 (75.2) 
    Ki67 expression<0.0001
    Negative0 (0)37 (25.5) 
    Positive74 (100)108 (74.5) 
    • Values are expressed as number and percentage (%)

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Saudi Medical Journal: 42 (7)
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Clinicopathological characteristics of young versus older patients with breast cancer
Abdulkader M. Albasri
Saudi Medical Journal Jul 2021, 42 (7) 769-775; DOI: 10.15537/smj.2021.42.7.20200750

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Clinicopathological characteristics of young versus older patients with breast cancer
Abdulkader M. Albasri
Saudi Medical Journal Jul 2021, 42 (7) 769-775; DOI: 10.15537/smj.2021.42.7.20200750
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