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Table 5 Review of studies comparing MBC and TNBC

From: Assessment of outcomes and novel immune biomarkers in metaplastic breast cancer: a single institution retrospective study

 

Outcomes (MBC vs TNBC)

Author (year)

Sample (N)

Matching

Analysis

DFS % (p)

DFS HR (p)

OS % (p)

OS HR (p)

Chemotherapy

Lee H, et al. (2012) [31]

MBC = 67

TNBC = 520

1:8

-Stage

Univariate

 

3.65 (p < 0.001)

 

3.5 (p < 0.001)

MBC and TNBC stage I–III:

-16.7% and 20.5% anthracycline- and taxane (combination)-based NACTx

MBC and TNBC recurrence or stage IV:

-17% anthracycline based

-35% taxane based

-30% capecitabine containing

-17% other

Distribution of regimens between MBC and TNBC (p = 0.280)

Multivariate

 

2.53 (p = 0.005)

 

2.56 (p = 0.017)

Aydiner A, et al. (2015) [32]

MBC = 54 TNBC = 51

1:1

-Clinical and pathologic features

-Demographic features

-Treatment modality

Univariate

PFS*

3 years

51% vs 82% (p = 0.013)

 

3 years

68% vs 94%

(p = 0.009)

 

MBC and TNBC stage I–IV:

- 36% and 28% anthracycline based

- 2% and 8% taxane based

- 48% and 64% anthracycline + taxane based

- 14% and 0% other regimens

Distribution of regimens between MBC and TNBC (p = 0.67)

Multivariate

 

PFS*

0.09

(p < 0.001)

 

0.35 (p = 0.19)

El Zein D, et al. (2017) [33]

MBC = 46 TNBC = 508

1:1

-Age

-Stage

-Grade

-Treatment setting

-Treatment modality

Univariate

5 years

74% vs 90% (p < 0.001)

 

5 years

65% vs 87% (p = 0.002)

 

MBC stage I–III:

-78.6% AC/T

-4.3% CMF

-2.1% MAID

-6.5% carboplatin based

-4.3% gemcitabine based

Distribution of regimens between MBC and TNBC (p = N/A)

Multivariate

 

1.99 (p = 0.05)

 

1.50 (p = 0.25)

Song Y, et al. (2013) [34]

MBC = 55

TNBC = 131

1:2

-Age

-Period of diagnosis

Univariate

5 years

46% vs 60% (p < 0.001)

 

5 years

55% vs 73% (p < 0.001)

 

MBC stage I–III:

-37.5% TAC adjuvant CTx

-14.5% CMF adjuvant CTx

-14.5% FAC adjuvant CTx

-18.75% FAC→TC adjuvant CTx

-8.3% TAC + cisplatin/capecitabine adjuvant CTx

-6.25% TAC + capecitabine/vinorelbine adjuvant CTx

Distribution of regimens betweenMBC and TNBC (p = N/A)

Multivariate

Not performed vs TN-IDC

 

Not performed vs TN-IDC

 

Current study

MBC = 44

TNBC = 130

1:3

-Age

-Stage

Univariate

DDFS*

5 years

78% vs 79% (p = 0.35)

 

5 years

79% vs 81% (p = 0.32)

 

MBC and TNBC stage I–IV:

-70.5% and 77.7% AC

-4.5% and 6.9% TC

-2.3% and 0.8% FEC

-0.0% and 0.8% docetaxel + carboplatin

-13.6% and 11.5% paclitaxel + carboplatin

-0.0% and 0.8% gemcitabine + cisplatin

-0.0% and 1.5% gemcitabine + paclitaxel

No significant differences in regimen use between MBC and TNBC.

MBC and TNBC stage I–IV:

-77.3% and 80.0% anthracycline received

-13.6% and 13.1% platinum received

-70.5% and 85.4% taxane received

Significant difference in taxane use between groups (p = 0.041)

Multivariate

 

DDFS*

1.64 (p = 0.22)

 

1.64 (p = 0.26)

  1. Abbreviations: MBC = metaplastic breast cancer, TNBC = triple negative breast cancer, DFS disease-free survival, PFS = progression-free survival; OS = overall survival, HR = hazard ratio, CTx = chemotherapy; TAC = taxane/paclitaxel, anthracyclines, and cyclophosphamide, CMF = cyclophosphamide, methotrexate, and fluorouracil, FAC→TC = fluorouracil, doxorubicin/anthracyclines and cyclophosphamide to taxane, paclitaxel/cisplatin/carboplatin, AC/T = doxorubicin and cyclophosphamide with/without paclitaxel or docetaxel; MAID = mesnex, doxorubicin, ifosfamide, and dacarbazine, AC = doxorubicin and cyclophosphamide, TC = cyclophosphamide and docetaxel, FEC = fluorouracil, epirubicin, and cyclophosphamide