Race and recurrence in women who undergo neoadjuvant chemotherapy for breast cancer.


Journal Article

BACKGROUND: Black women can have worse outcomes than white women with breast cancer. We examined survival in black and white women who received neoadjuvant chemotherapy. METHODS: We identified 98 women with stage II or III breast cancer who underwent neoadjuvant chemotherapy. Women with inflammatory breast cancer, T4 disease, or metastases were excluded. Data were analyzed using the Fisher exact test and Kaplan-Meier method. RESULTS: From the cohort, 69 women were included. The median follow-up was 6.2 years. The estrogen receptor status was similar. White women tended to overexpress human epidermal growth factor receptor 2 (HER2) (P = .091). The pretreatment T stage was T3. All women received similar neoadjuvant chemotherapy. The 5-year progression-free survival was better for white women compared with black women (78% vs 58%, P = .05). The 5-year overall survival was similar (P = .095). CONCLUSIONS: The pretreatment characteristics of women receiving neoadjuvant chemotherapy were similar. Black women had a worse disease-free survival. The overall survival was the same.

Full Text

Cited Authors

  • Howard-McNatt, M; Lawrence, J; Melin, SA; Levine, EA; Shen, P; Stewart, JH

Published Date

  • April 2013

Published In

Volume / Issue

  • 205 / 4

Start / End Page

  • 397 - 401

PubMed ID

  • 23422317

Pubmed Central ID

  • 23422317

Electronic International Standard Serial Number (EISSN)

  • 1879-1883

Digital Object Identifier (DOI)

  • 10.1016/j.amjsurg.2013.01.009


  • eng

Conference Location

  • United States