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Table 1 Patient demographic and clinical characteristics (surgery group vs. non-surgery group)

From: The effective duration of systemic therapy and the neutrophil-to-lymphocyte ratio predict the surgical advantage of primary tumor resection in patients with de novo stage IV breast cancer: a retrospective study

 

Surgery group (n = 61)

Non-surgery group (n = 80)

p-value

Age, yrs; mean

59.9

63.1

0.6

Subtype:

  

0.047

 Luminal

30 (50%)

46 (57.5%)

 

 Luminal HER2

4 (6.7%)

9 (11.3%)

 

 Her2

19 (31.7%)

10 (12.5%)

 

 Triple negative

7 (11.7%)

14 (17.5%)

 

Metastasis statuses: *

   

1) By metastatic number in each organ

  

0.002

Oligo

25 (41%)

36 (59%)

 

 Bone

7

9

 

 Lung

11

2

 

 Liver

2

0

 

 Brain

1

0

 

 Lymph node

4

2

 

Visceral

14 (17.5%)

66 (82.5%)

 

 Lung

15

10

 

 Liver

8

25

 

 Pleural dissemination

6

14

 

 Peritoneal dissemination

0

6

 

 Brain

5

2

 

 Meningeal dissemination

6

1

 

 Other

2

5

 

2) By number of metastatic organs in visceral cases

  

0.22

Within single organ

8(22.2%)

21(31.8%)

 

Spread to multiple organs (≥ 2)

28(77.8%)

45(68.2%)

 

Systemic therapy:

  

< 0.0001

No. of treatment regimens:

   

 1

13 (21.3%)

29 (36.2%)

 

 2

21 (34.4%)

17 (21.2%)

 

 ≥ 3

16 (26.2%)

27 (33.7%)

 

Regimen:

   

Chemotherapy

14 (23.3%)

29 (36.7%)

 

 Anthracycline

1

1

 

 Taxane

11

21

 

 Anthracycline + taxane

26

15

 

 Anti-Her2 therapy

27

16

 

 Immune checkpoint inhibitor

0

2

 

 Other

9

16

 

Endocrine

5 (8.3%)

27 (34.2%)

 

 Aromatase inhibitor

16

31

 

 Tamoxifen

3

12

 

 Fulvestrant

1

17

 

 C + E

38 (63.3%)

17 (21.5%)

 

 None

3 (5%)

6 (7.56%)

 

Best therapeutic response:

  

< 0.0001

 CR

7 (17.5%)

1 (1.32%)

 

 PR

15 (37.5%)

8 (10.5%)

 

 SD

17 (42.5%)

4 (5.3%)

 

 PD

1 (2.5%)

42 (55.3%)

 

Surgery:

 

None

 

 Partial mastectomy

8 (13.1%)

  

 Mastectomy

51 (83.6%)

  

 Other

2 (3.27%)

  

Axillary dissection:

   

 Yes

55 (90.1%)

  

 No

4 (6.55%)

  

Surgical margin:

 

None

 

 Positive

5

  

 Negative

27

  

Pre ALC, /µL; mean

1,626

1,674

0.21

NLR, mean:

   

 Pre

2.94

3.62

0.19

 6 mos.

3.18

2.86

0.94

 1 yr

2.95

2.42

0.54

 2 yrs

2.5

2.58

0.56

  1. The data are number and percentage unless otherwise indicated. ALC: absolute lymphocyte count, C + E: chemotherapy plus endocrine therapy, CR: complete response, mos.: months, NLR: neutrophil-to-lymphocyte ratio, PD: progressive disease, PR: partial response, SD: stable disease. *: The oligo metastasis is defined as low-volume metastatic disease, with a limited number and size of metastatic lesions (up to five lesions). Visceral metastases have spread to the liver or lungs with more than five metastatic lesions in multiple internal organs based on the international consensus guidelines for the management of advanced breast cancer (ABC guidelines 6 and 7)