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Unilateral Early Breast Cancer Essay

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Materials and Methods
Patients
In this retrospective study, performed across 4 oncology centers in Saudi Arabia and Egypt, we evaluated
280 women who were diagnosed with unilateral early breast cancer from between March 2010 and October 2013.
Patients received standard neoadjuvant chemotherapy
(6-8 cycles of an anthracycline and Ttaxane-containingregimen) with or without trastuzumab according to the human epidermal growth factor receptor 2 (HER2) status. After excluding patients who underwent breast conservative surgery because of a possible high incidence of recurrence, the included patients underwent modified radical mastectomy with axillary clearance followed by local radiotherapy with/without hormonal treatment for
Candide patients, …show more content…

Fluorescence in situ hybridization (FISH) was used to establish the HER2 status when IHC yielded equivocal results. The interpretation of HER2 FISH results (HER2- to-CEP 17 ratio and gene copy number) was as follows: positive HER2 amplification, FISH ratio > 2.2 or HER2 gene > 6.0; equivocal HER2 amplification, FISH ratio of
1.8-2.2 or HER2 gene copy of 4.0-6.0; and negative HER2 amplification, FISH ratio <1.8 or HER2 gene copy < 4.0.
Statistical Analysis
SPSS version 17.0 was used for data analysis.
Quantitative data are presented as the mean and standard deviation (SD). Parametric and non-parametric t-tests were used for comparison of two independent groups.
The Kaplan-Meier method was used to estimate overall survival. Overall survival was measured from the first day of treatment until death, while disease- free survival was defined as the period from the date of diagnosis until the date of first recurrence, either loco-regional or systemic.
The log rank test was used to compare survival between the groups. The χ2 and Fisher exact tested were used to determine the proportion of independents. The logrank test was used to calculate P- values for the differences between groups. For all the above- mentioned statistical tests, the threshold of significance was fixed at the 5% level. The P value of >0.05: indicates non-significant

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