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Open Access 09-01-2025 | Breast Cancer | Research

Comparison of survival between unilateral and bilateral breast cancers using propensity score matching: a retrospective single-center analysis

Authors: Talar Ozler, Rusen Cosar, Necdet Sut, Dilek Nurlu, Şule Parlar, Sinan Ateş, Mert Hacı Dertli, Yusuf Kavuzlu, Sekip Kavukcu, Mert Chousein, Gokay Yıldız, Nermin Tunçbilek, Muhammet Bekir Hacıoglu, Ebru Tastekin, Sernaz Topaloğlu

Published in: Breast Cancer Research and Treatment

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Abstract

Purpose

The characteristics of patients with bilateral and unilateral breast cancer at the time of diagnosis or during follow-up have been compared, focusing on the differences in disease-free survival and overall survival between these groups.

Methods

A total of 1,947 patients diagnosed with invasive carcinoma were included in the study. 1876 ​​(96.4%) of our patients had unilateral and 71 (3.6%) had bilateral breast cancer. Among the bilateral breast cancer patients n = 47 were metachronous, while n = 24 were synchronous.

Results

SBBC, which had the lowest OS duration, showed a statistically significant difference compared to MBCC, similar to that observed in unilateral breast cancer (p = 0.027).

Conclusion

The fact that SBBC has the lowest survival rate despite more aggressive treatments should be considered a poor prognostic factor for survival on its own.
Literature
1.
2.
go back to reference Mruthyunjayappa S, Zhang K, Zhang L, Eltoum IA, Siegal GP, Wei S (2019) Synchronous and metachronous bilateral breast cancer: clinicopathologic characteristics and prognostic outcomes. Hum Pathol 92:1–9CrossRefPubMed Mruthyunjayappa S, Zhang K, Zhang L, Eltoum IA, Siegal GP, Wei S (2019) Synchronous and metachronous bilateral breast cancer: clinicopathologic characteristics and prognostic outcomes. Hum Pathol 92:1–9CrossRefPubMed
3.
go back to reference Jia H, Zheng Y, Wang P, Wei Z, Li X, Fu G et al (2022) A retrospective study on the clinicopathologic characteristics and outcomes of 179 cases of synchronous and metachronous bilateral breast cancer in China. Clin Breast Cancer 22(3):e341–e349CrossRefPubMed Jia H, Zheng Y, Wang P, Wei Z, Li X, Fu G et al (2022) A retrospective study on the clinicopathologic characteristics and outcomes of 179 cases of synchronous and metachronous bilateral breast cancer in China. Clin Breast Cancer 22(3):e341–e349CrossRefPubMed
5.
go back to reference Hartman M, Czene K, Reilly M, Adolfsson J, Bergh J, Adami HO et al (2007) Incidence and prognosis of synchronous and metachronous bilateral breast cancer. J Clin Oncol 25(27):4210–4216CrossRefPubMed Hartman M, Czene K, Reilly M, Adolfsson J, Bergh J, Adami HO et al (2007) Incidence and prognosis of synchronous and metachronous bilateral breast cancer. J Clin Oncol 25(27):4210–4216CrossRefPubMed
6.
go back to reference Shi YX, Xia Q, Peng RJ, Yuan ZY, Wang SS, An X et al (2012) Comparison of clinicopathological characteristics and prognoses between bilateral and unilateral breast cancer. J Cancer Res Clin Oncol 138(4):705–714CrossRefPubMed Shi YX, Xia Q, Peng RJ, Yuan ZY, Wang SS, An X et al (2012) Comparison of clinicopathological characteristics and prognoses between bilateral and unilateral breast cancer. J Cancer Res Clin Oncol 138(4):705–714CrossRefPubMed
8.
go back to reference Jobsen JJ, van der Palen J, Ong F, Riemersma S, Struikmans H (2015) Bilateral breast cancer, synchronous and metachronous; differences and outcome. Breast Cancer Res Treat 153(2):277–283CrossRefPubMed Jobsen JJ, van der Palen J, Ong F, Riemersma S, Struikmans H (2015) Bilateral breast cancer, synchronous and metachronous; differences and outcome. Breast Cancer Res Treat 153(2):277–283CrossRefPubMed
9.
go back to reference Verkooijen HM, Chatelain V, Fioretta G, Vlastos G, Rapiti E, Sappino AP et al (2007) Survival after bilateral breast cancer: results from a population-based study. Breast Cancer Res Treat 105(3):347–357CrossRefPubMed Verkooijen HM, Chatelain V, Fioretta G, Vlastos G, Rapiti E, Sappino AP et al (2007) Survival after bilateral breast cancer: results from a population-based study. Breast Cancer Res Treat 105(3):347–357CrossRefPubMed
10.
go back to reference Ozturk A, Alco G, Sarsenov D, Ilgun S, Ordu C, Koksal U et al (2018) Synchronous and metachronous bilateral breast cancer: A long-term experience. J BUON 23(6):1591–1600PubMed Ozturk A, Alco G, Sarsenov D, Ilgun S, Ordu C, Koksal U et al (2018) Synchronous and metachronous bilateral breast cancer: A long-term experience. J BUON 23(6):1591–1600PubMed
11.
go back to reference Beinart G, Gonzalez-Angulo AM, Broglio K, Mejia J, Ruggeri A, Mininberg E et al (2007) Clinical course of 771 patients with bilateral breast cancer: characteristics associated with overall and recurrence-free survival. Clin Breast Cancer 7(11):867–874CrossRefPubMed Beinart G, Gonzalez-Angulo AM, Broglio K, Mejia J, Ruggeri A, Mininberg E et al (2007) Clinical course of 771 patients with bilateral breast cancer: characteristics associated with overall and recurrence-free survival. Clin Breast Cancer 7(11):867–874CrossRefPubMed
12.
go back to reference Kollias J, Ellis IO, Elston CW, Blamey RW (2001) Prognostic significance of synchronous and metachronous bilateral breast cancer. World J Surg 25(9):1117–1124CrossRefPubMed Kollias J, Ellis IO, Elston CW, Blamey RW (2001) Prognostic significance of synchronous and metachronous bilateral breast cancer. World J Surg 25(9):1117–1124CrossRefPubMed
13.
go back to reference World Medical A (2013) World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 310(20):2191–2194CrossRef World Medical A (2013) World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. JAMA 310(20):2191–2194CrossRef
15.
go back to reference Austin PC (2011) An introduction to propensity score methods for reducing the effects of confounding in observational studies. Multivariate Behav Res 46(3):399–424CrossRefPubMedPubMedCentral Austin PC (2011) An introduction to propensity score methods for reducing the effects of confounding in observational studies. Multivariate Behav Res 46(3):399–424CrossRefPubMedPubMedCentral
18.
go back to reference Bradburn MJ, Clark TG, Love SB, Altman DG (2003) Survival analysis part II: multivariate data analysis–an introduction to concepts and methods. Br J Cancer 89(3):431–436CrossRefPubMedPubMedCentral Bradburn MJ, Clark TG, Love SB, Altman DG (2003) Survival analysis part II: multivariate data analysis–an introduction to concepts and methods. Br J Cancer 89(3):431–436CrossRefPubMedPubMedCentral
20.
go back to reference Haffty BG, Harrold E, Khan AJ et al (2002) Outcome of conservatively managed early-onset breast cancer by BRCA1/2 status. Lancet 359:1471–1477CrossRefPubMed Haffty BG, Harrold E, Khan AJ et al (2002) Outcome of conservatively managed early-onset breast cancer by BRCA1/2 status. Lancet 359:1471–1477CrossRefPubMed
22.
go back to reference Kuo WH, Yen AM, Lee PH, Hou MF, Chen SC, Chen KM et al (2006) Incidence and risk factors associated with bilateral breast cancer in area with early age diagnosis but low incidence of primary breast cancer: analysis of 10-year longitudinal cohort in Taiwan. Breast Cancer Res Treat 99(2):221–228CrossRefPubMed Kuo WH, Yen AM, Lee PH, Hou MF, Chen SC, Chen KM et al (2006) Incidence and risk factors associated with bilateral breast cancer in area with early age diagnosis but low incidence of primary breast cancer: analysis of 10-year longitudinal cohort in Taiwan. Breast Cancer Res Treat 99(2):221–228CrossRefPubMed
23.
go back to reference Beckmann KR, Buckingham J, Craft P, Dahlstrom JE, Zhang Y, Roder D et al (2011) Clinical characteristics and outcomes of bilateral breast cancer in an Australian cohort. Breast 20(2):158–164CrossRefPubMed Beckmann KR, Buckingham J, Craft P, Dahlstrom JE, Zhang Y, Roder D et al (2011) Clinical characteristics and outcomes of bilateral breast cancer in an Australian cohort. Breast 20(2):158–164CrossRefPubMed
24.
go back to reference Jobsen JJ, van der Palen J, Ong F, Meerwaldt JH (2003) Synchronous, bilateral breast cancer: prognostic value and incidence. Breast 12(2):83–88CrossRefPubMed Jobsen JJ, van der Palen J, Ong F, Meerwaldt JH (2003) Synchronous, bilateral breast cancer: prognostic value and incidence. Breast 12(2):83–88CrossRefPubMed
25.
go back to reference Carmichael AR, Bendall S, Lockerbie L, Prescott R, Bates T (2002) The long-term outcome of synchronous bilateral breast cancer is worse than metachronous or unilateral tumours. Eur J Surg Oncol 28(4):388–391CrossRefPubMed Carmichael AR, Bendall S, Lockerbie L, Prescott R, Bates T (2002) The long-term outcome of synchronous bilateral breast cancer is worse than metachronous or unilateral tumours. Eur J Surg Oncol 28(4):388–391CrossRefPubMed
26.
go back to reference Wang T, Liu H, Chen KX, Xun P, Li HX, Tang SC (2011) The risk factors and prognosis of bilateral primary breast cancer: a comparative study with unilateral breast cancer. Oncol Res 19(3–4):171–178CrossRefPubMed Wang T, Liu H, Chen KX, Xun P, Li HX, Tang SC (2011) The risk factors and prognosis of bilateral primary breast cancer: a comparative study with unilateral breast cancer. Oncol Res 19(3–4):171–178CrossRefPubMed
27.
go back to reference Heron DE, Komarnicky LT, Hyslop T, Schwartz GF, Mansfield CM (2000) Bilateral breast carcinoma: risk factors and outcomes for patients with synchronous and metachronous disease. Cancer 88(12):2739–2750CrossRefPubMed Heron DE, Komarnicky LT, Hyslop T, Schwartz GF, Mansfield CM (2000) Bilateral breast carcinoma: risk factors and outcomes for patients with synchronous and metachronous disease. Cancer 88(12):2739–2750CrossRefPubMed
28.
go back to reference Holmberg L, Adami HO, Ekbom A, Bergstrom R, Sandstrom A, Lindgren A (1988) Prognosis in bilateral breast cancer. Effects of time interval between first and second primary tumours. Br J Cancer 58(2):191–194CrossRefPubMedPubMedCentral Holmberg L, Adami HO, Ekbom A, Bergstrom R, Sandstrom A, Lindgren A (1988) Prognosis in bilateral breast cancer. Effects of time interval between first and second primary tumours. Br J Cancer 58(2):191–194CrossRefPubMedPubMedCentral
30.
go back to reference Lee E-H, Park SK, Park B, Kim S-W, Lee MH, Ahn SH, Son BH, Yoo K-Y, Kang D, Group KR (2010) Effect of BRCA1/2 mutation on short-term and long-term breast cancer survival a systematic review and meta-analysis. Breast Cancer Res Treat 122:11–25CrossRefPubMed Lee E-H, Park SK, Park B, Kim S-W, Lee MH, Ahn SH, Son BH, Yoo K-Y, Kang D, Group KR (2010) Effect of BRCA1/2 mutation on short-term and long-term breast cancer survival a systematic review and meta-analysis. Breast Cancer Res Treat 122:11–25CrossRefPubMed
31.
go back to reference Zhong Q, Peng H-L, Zhao X, Zhang L, Hwang W-T (2015) Effects of BRCA1-and BRCA2-related mutations on ovarian and breast cancer survival. a meta-analysis. Clin Cancer Res 21:211–220CrossRefPubMed Zhong Q, Peng H-L, Zhao X, Zhang L, Hwang W-T (2015) Effects of BRCA1-and BRCA2-related mutations on ovarian and breast cancer survival. a meta-analysis. Clin Cancer Res 21:211–220CrossRefPubMed
32.
go back to reference Liu J, Ho PJ, Tan THL, Yeoh YS, Chew YJ, Mohamed Riza NK, Khng AJ, Goh SA, Wang Y, Oh HB, et al. (2022) Chin CH, Kwek SC, Zhang ZP, Ong DLS, Quek ST, Tan CC, Wee HL, Li J, Iau PTC, Hartman M. BREAst screening Tailored for HEr (BREATHE)-A study protocol on personalised risk-based breast cancer screening programme. PLoS One. 17(3): e0265965. https://doi.org/10.1371/journal.pone.0265965. Liu J, Ho PJ, Tan THL, Yeoh YS, Chew YJ, Mohamed Riza NK, Khng AJ, Goh SA, Wang Y, Oh HB, et al. (2022) Chin CH, Kwek SC, Zhang ZP, Ong DLS, Quek ST, Tan CC, Wee HL, Li J, Iau PTC, Hartman M. BREAst screening Tailored for HEr (BREATHE)-A study protocol on personalised risk-based breast cancer screening programme. PLoS One. 17(3): e0265965. https://​doi.​org/​10.​1371/​journal.​pone.​0265965.
Metadata
Title
Comparison of survival between unilateral and bilateral breast cancers using propensity score matching: a retrospective single-center analysis
Authors
Talar Ozler
Rusen Cosar
Necdet Sut
Dilek Nurlu
Şule Parlar
Sinan Ateş
Mert Hacı Dertli
Yusuf Kavuzlu
Sekip Kavukcu
Mert Chousein
Gokay Yıldız
Nermin Tunçbilek
Muhammet Bekir Hacıoglu
Ebru Tastekin
Sernaz Topaloğlu
Publication date
09-01-2025
Publisher
Springer US
Published in
Breast Cancer Research and Treatment
Print ISSN: 0167-6806
Electronic ISSN: 1573-7217
DOI
https://doi.org/10.1007/s10549-024-07606-1

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