ArticleWorld journal of surgical oncology2026
Survival prognosis and influencing factors in elderly patients with stage I-III breast cancer.
Article in World journal of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
aimsTo analyse the survival prognosis of elderly patients with stage I-III breast cancer and to explore the related clinicopathological influencing factors.
methodsRetrospective collection of clinicopathological data from elderly breast cancer patients (aged ≥ 65 years) admitted to Sichuan Cancer Hospital between October 2014 and December 2022. Survival curves were generated using the Kaplan–Meier method and comparisons were made using the log-rank test. Univariate and multivariate Cox proportional hazards regression analyses were employed to identify factors independently associated with five-year event-free survival (EFS).
resultsA total of 319 elderly patients with stage I-III breast cancer were included, with a 5-year overall EFS rate of 82.0%. Univariate analysis revealed significant associations between 5-year EFS and age, histological grade, estrogen receptor (ER) status, progesterone receptor (PR) status, Ki-67 level, tumour size (T stage), lymph node status (N stage), and the administration of endocrine therapy (all P < 0.05). Multivariate analysis revealed that age, PR status, T stage, N stage, and Ki-67 level were independent prognostic factors for 5-year EFS.
conclusionsThe results of this study suggest that age, PR status, the Ki-67 index, tumour size, and lymph node metastasis can serve as independent predictors of the 5-year EFS rate in elderly patients with stage I-III breast cancer. Specifically, younger age (≤ 68 years), PR positivity, Ki-67 < 30%, and early T (T1-T2) and N (N0) stages are associated with a more favourable prognosis.
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