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- W3094599067 abstract "Inflammatory breast cancer (IBC) is the most aggressive form of breast cancer (BC), with high propensity for distant metastases. Previous data has suggested that aspirin use may be associated with improved risk of distant metastases in aggressive breast cancer, but there are no reported studies of potential benefit of aspirin use in IBC patients. Our goal was to determine whether there is an association of aspirin use with improvement in outcomes for patients with IBC. Patients with non-metastatic IBC treated from 2000-2017 at two institutions were reviewed (IRB protocol STU- 052012-019). Clinicopathologic data, including evidence of aspirin use in remission period (beginning within 2 years of diagnosis and lasting for a minimum of 60 days), was collected and analyzed. Overall survival (OS), disease free survival (DFS), and distant metastases free survival (DMFS) were obtained using Kaplan Meier analysis. Univariate and multivariate logistic regression models were constructed to identify significant factors. 59 patients meeting criteria for analysis were available for review, of which 14 aspirin users were identified. The aspirin and non-aspirin groups did not show any significant distribution differences in patient characteristics (e.g. ER/PR status, pathologic tumor (pT) stage, pathologic nodal (pN) stage, LVI, endocrine therapy use, chemotherapy use, triple negative status). Aspirin users demonstrated increased OS (p = .03) and DMFS (p = .02), with 4-year OS and DMFS of 92% (p = .01) and 85% (p = .01) compared to 56% and 43% respectively for non-aspirin users. On univariate analysis, pT stage, pN stage, and aspirin use, were significantly correlated (p<.05) with OS and DFS. On multivariate analysis, aspirin use (HR = .11, CI 0.01- 0.8) and lymph node stage (HR = 5.9, CI 1.4-25.9) remained significant for OS and DFS (aspirin use (HR = 0.13, CI 0.03-0.56) and lymph node stage (HR = 5.6, CI 1.9-16.4). Aspirin use initiated during remission period was associated with significantly improved OS and DMFS in IBC patients. These hypotheses-generating results suggests that aspirin use may provide survival benefit for IBC patients. Prospective clinical trial(s) of augmented ASA use in patients with high risk IBC in remission should be considered for development." @default.
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- W3094599067 date "2020-11-01" @default.
- W3094599067 modified "2023-09-26" @default.
- W3094599067 title "Aspirin Use is Associated with Improvement in Overall Survival and Recurrence Free Survival in Inflammatory Breast Cancer Patients" @default.
- W3094599067 doi "https://doi.org/10.1016/j.ijrobp.2020.07.1048" @default.
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