Evidence map›Paper›PMID 40441757›Full record

ArticleCancer research and treatment2026

Sex Disparities in Breast Cancer Survival According to Clinical Treatment Score Post-5 Years (CTS5) Risk Stratification.

Ke Liu, Zhen-Zhen Lu, Zhen-Yu He, San-Gang Wu

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Article in Cancer research and treatment, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

4 authors.

Ke LiuXiamen Key Laboratory of Clinical Efficacy and Evidence Studies of Traditional Chinese Medicine, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.
Zhen-Zhen LuThe Graduate School of Fujian Medical University, Fuzhou, China.
Zhen-Yu HeDepartment of Radiation Oncology, Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangzhou, China.
San-Gang WuDepartment of Radiation Oncology, Xiamen Cancer Quality Control Center, Xiamen Cancer Center, Xiamen Key Laboratory of Radiation Oncology, The First Affiliated Hospital of Xiamen University, School of Medicine, Xiamen University, Xiamen, China.

Funding

Guangdong Basic and Applied Basic Research Foundation 2023A1515010086National Natural Science Foundation of China 81872459Natural Science Foundation of Fujian Province 2024J011363Project of the Xiamen Municipal Health Commission 3502Z20184020Social Development Projects of Key R&D Programs in Hainan Province ZDYF2023SHFZ118
6 · The paper itself

Abstract

purposeThe role of the Clinical Treatment Score post-5 years (CTS5) in male breast cancer (MBC) remains unclear. This study aimed to investigate the characteristics and prognosis of CTS5 between MBC and female breast cancer (FBC). MATERIALS AND

methodsPatients diagnosed with human epidermal growth factor receptor 2-negative/estrogen receptor-positive breast cancer between 2010 and 2015 were identified from the Surveillance, Epidemiology, and End Results (SEER) database. The chi-square test, Kaplan-Meier analysis, and multivariate Cox proportional hazard model were used for statistical analysis.

resultsThis study included 169,869 patients, comprising 168,422 (99.1%) FBC and 1,447 (0.9%) MBC patients. More MBC patients had intermediate risk (IR)/high risk (HR) disease compared to FBC patients (17.7% vs. 8.7%, p < 0.001). MBC patients had an inferior overall survival (OS) but similar breast cancer-specific survival compared to those with FBC. Sensitivity analyses showed that sex was an independent prognostic factor associated with OS but not breast cancer-specific survival (BCSS) in both the low-risk (LR) and IR/HR cohorts. Those with MBC exhibited significantly worse OS (p < 0.001) than FBC patients in both cohorts. In MBC patients, those with IR/HR disease had significantly worse OS (p < 0.001) and BCSS (p < 0.001) compared to those with LR disease. For FBC patients, the IR/HR group had also significantly worse OS (p < 0.001) and BCSS (p < 0.001) compared to the LR group.

conclusionOur findings highlight critical differences in clinical characteristics, treatment patterns, and outcomes between MBC and FBC, suggesting the need for sex-tailored approaches in breast cancer management.

Indexed as

Breast NeoplasmsBreast Neoplasms, MaleAdultAgedFemaleHumansKaplan-Meier EstimateMaleMiddle AgedPrognosisRisk AssessmentSEER ProgramSex FactorsBreast neoplasmsCTS5FemaleMaleSurvival

Identifiers

PMID40441757
PMCPMC13093015

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