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- W4229007782 abstract "Up to 30% of metastatic breast cancer (BC) patients (pts) develop brain metastases (BM). Prognosis of pts with BM is poor and long-term survival is rare. Identification of factors associated with long-term survival is important for improving treatment modalities. A total of 2889 out of 3234 pts of the BMBC registry were available for this analysis. Long-term survival was defined as overall survival (OS) in the upper third of the survival curve resulting in a cut-off of 15 months. 887 patients were categorized as long-term survivors. Long-term survivors compared to other pts were younger at BC and BM diagnosis (median 48 vs 54 years and 53 vs 59 years), had more often HER2+ tumors (59.1% vs 36.3%), less frequently luminal-like (29.1% vs 35.7%) or TNBC (11.9% vs 28.1%), showed better ECOG at time of BM diagnosis (ECOG 0-1 76.9% vs 51.0%), higher pCR rate (21.6% vs 13.7%) and lower number of BM (n=1 BM 40.9% vs 25.4%; n=2-3 BM 26.5% vs 26.7%; n≥4 BM 32.6% vs 47.9%) (p<0.001). Long-term survivors had less leptomeningeal metastases (10.4% vs 17.5%) and extracranial metastases (ECM, 73.6% vs 82.5%), and more often asymptomatic BM at time of BM diagnosis (26.5% vs 20.1, p<0.001). Median OS in long-term survivors was 30.9 months (95% CI 28.8-32.6) overall, 33.9 (95% CI 31.5-37.9) in HER2+, 26.9 (95% CI 25.0-30.9) in luminal-like and 26.5 (95% CI 22.7-31.2) in TNBC pts. Factors significantly associated with a categorization of long-term survivors are presented in the table below.Table: 170PMultivariate logistic regression in long-term vs short-term survivorsParameter at diagnosisCategoryOdds Ratio*95% CIp-valueAge**< 60years1≥60 years0.590.44, 0.79<0.001ECOG**0-112-40.450.33, 0.61<0.001Hormone receptorneg.1pos.1.871.39, 2.50<0.001HER2neg.1pos.2.742.06, 3.64<0.001Number of BM11<0.0012-30.790.55, 1.130.191≥40.460.33, 0.65<0.001Leptomeningeal metastasesno1yes0.990.64, 1.530.949Clinical symptoms**no1yes0.940.66, 1.340.726ECM**no1yes0.650.46, 0.930.017Chemotherapy after diagnosis of BMno1yes2.191.64, 2.92<0.001*An odds ratio ≥1 leads to a higher probability to be assigned to the group of long-term survivors** at diagnosis of BM Open table in a new tab *An odds ratio ≥1 leads to a higher probability to be assigned to the group of long-term survivors ** at diagnosis of BM Our analysis identified factors associated with long-term survival of BC pts with BM and characterized clinical features of this patient cohort. Pts with better ECOG status, younger age, lower number of BM, less extended visceral metastases are more likely to show a long-term survival and therefore are more eligible for extended local and systemic treatment." @default.
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- W4229007782 date "2022-05-01" @default.
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- W4229007782 title "170P Long-term survival of breast cancer patients with brain metastases: Subanalysis of the BMBC registry" @default.
- W4229007782 doi "https://doi.org/10.1016/j.annonc.2022.03.189" @default.
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