Evidence map›Paper›PMID 40374937›Full record

ArticleArchives of gynecology and obstetrics2025

Breast cancer in patients under 40 years: an 11-year retrospective cohort analysis.

Franziska Ganster, Simone Schrodi, Michael Braun, Christina Seifert, Sven Mahner, Thomas Kolben, Rachel Wuerstlein, Nadia Harbeck, Maximiliane Burgmann

Abstract read
In one paragraph

Article in Archives of gynecology and obstetrics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Franziska GansterDepartment of Gynecology and Obstetrics and Comprehensive Cancer Center Munich LMU, BZKF Breast Center, LMU University Hospital, Marchioninistr. 15, 81377, Munich, Germany.
Simone SchrodiBavarian Cancer Registry, Bavarian Food and Health Authority (LGL), Munich, Germany.
Michael BraunDepartment of Gynecology, Breast Center, Red Cross Hospital, Munich, Germany.
Christina SeifertDepartment of Gynecology and Obstetrics and Comprehensive Cancer Center Munich LMU, BZKF Breast Center, LMU University Hospital, Marchioninistr. 15, 81377, Munich, Germany.
Sven MahnerDepartment of Gynecology and Obstetrics and Comprehensive Cancer Center Munich LMU, BZKF Breast Center, LMU University Hospital, Marchioninistr. 15, 81377, Munich, Germany.
Thomas KolbenDepartment of Gynecology and Obstetrics and Comprehensive Cancer Center Munich LMU, BZKF Breast Center, LMU University Hospital, Marchioninistr. 15, 81377, Munich, Germany.
Rachel WuerstleinDepartment of Gynecology and Obstetrics and Comprehensive Cancer Center Munich LMU, BZKF Breast Center, LMU University Hospital, Marchioninistr. 15, 81377, Munich, Germany.
Nadia HarbeckDepartment of Gynecology and Obstetrics and Comprehensive Cancer Center Munich LMU, BZKF Breast Center, LMU University Hospital, Marchioninistr. 15, 81377, Munich, Germany.
Maximiliane BurgmannDepartment of Gynecology and Obstetrics and Comprehensive Cancer Center Munich LMU, BZKF Breast Center, LMU University Hospital, Marchioninistr. 15, 81377, Munich, Germany. maximiliane.burgmann@med.uni-muenchen.de.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThe number of young breast cancer (BC) patients is increasing in both high- and low-income countries. It is known that this population is at risk for more aggressive tumor phenotypes, larger tumor size at diagnosis and poorer prognosis. It is the aim of this population-based analysis to identify trends of therapy, tumor biology and prognosis during a period of 11 years in young patients under the age of 40.

methodsIn this analysis, data of young BC patients (< 40 years) from two breast centers were collected and analysed. The focus was a summary of data regarding tumor phenotypes, treatment, and survival in young BC patients.

resultsOut of 11,954 patients with invasive BC who were eligible to the analysis, 781 (6.5%) were younger than 40 years at diagnosis and met the inclusion criteria. The predominant biological subtypes were Luminal B-like (HER2-) and Luminal-A-like, 62.3% were diagnosed with pN0. Noticeably low rates for endocrine therapy and higher rates for chemotherapy could be observed. 10-year overall survival was 87% for the whole cohort. Luminal-B-like (HER2-) and Triple negative tumors had worse outcomes as opposed to the other subtypes.

conclusionAs a conclusion, this 11-year analysis provides valuable insights into the clinical characteristics and treatment outcomes of young breast cancer patients under 40 years of age. The analysis highlights clear outcome differences according to the tumor subtype. These findings underscore the need for personalized treatment approaches and continued follow-up to optimize outcomes for young BC patients.

Indexed as

Breast NeoplasmsAdultAge FactorsErb-b2 Receptor Tyrosine KinasesFemaleHumansPrognosisRetrospective StudiesTriple Negative Breast NeoplasmsYoung AdultErb-b2 Receptor Tyrosine KinasesBreast cancerPremenopausal patientsSurvivalTime trendTumorbiology

Identifiers

PMID40374937
PMCPMC12334375

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.