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. 2011 Dec;14(4):308-13.
doi: 10.4048/jbc.2011.14.4.308. Epub 2011 Dec 27.

Mucinous carcinoma of the breast in comparison with invasive ductal carcinoma: clinicopathologic characteristics and prognosis

Affiliations

Mucinous carcinoma of the breast in comparison with invasive ductal carcinoma: clinicopathologic characteristics and prognosis

Soo Youn Bae et al. J Breast Cancer. 2011 Dec.

Abstract

Purpose: Mucinous carcinoma (MC) of the breast is a rare histologic type of mammary neoplasm. The objective of this study was to evaluate the long-term disease-free survival (DFS) and overall survival (OS) of MC.

Methods: We conducted a retrospective analysis of all MC cases reported to a database between 1994 and 2010. Clinicopathological characteristics and survival of 268 MC cases were reviewed and compared with 2,455 invasive ductal carcinoma-not otherwise specified (IDC-NOS) cases.

Results: The MC cases were of a younger age, involved less lymph nodes, lower stage, more expression of hormonal receptors, and less HER2 overexpression compared to the IDC-NOS cases. The 5-year DFS rate for MC was 95.2% compared to 92.0% for IDC-NOS. The 5-year OS rate for MC was 98.9% compared to 94.9% for IDC-NOS. Multivariate analysis using Cox regression revealed that the mucinous type was a significant prognostic factor for DFS with lower nodal status (N stage) and hormonal therapy. For OS, only N stage was the most significant prognostic factor followed by adjuvant chemotherapy and adjuvant hormonal therapy.

Conclusion: MC was shown to be associated with a better DFS than IDC-NOS, but it had a similar OS. Nodal status and adjuvant therapy appear to be more significant predictors of prognosis than histologic subtype.

Keywords: Adenocarcinoma; Breast; Invasive ductal carcinoma; Mucinous; Prognosis.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Figure 1
Figure 1
Comparison of disease-free survival (DFS) curves for invasive ducal carcinoma (IDC) and mucinous carcinoma.
Figure 2
Figure 2
Comparison of overall survival (OS) curves for invasive ducal carcinoma (IDC) and mucinous carcinoma.
Figure 3
Figure 3
Overall survival (OS) curves for invasive ducal carcinoma (IDC) and mucinous carcinoma, stratified by stage.
Figure 4
Figure 4
Overall survival (OS) curves for invasive ducal carcinoma (IDC) and mucinous carcinoma, stratified by tumor size (T stage).

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