Evidence map›Paper›PMID 42374837›Full record

ArticleActa oncologica (Stockholm, Sweden)2026

Pathological characteristics and prognosis of very young patients with early breast cancer: a comparative analysis with older patients.

Youri Park, Jin Hoon Nam, Yeonjoo Kwon, Jung Ho Park, Sanghwa Kim, Young Ah Lim, Hee-Joon Kang, Doyil Kim, Janghee Lee

Abstract readComparative Study
In one paragraph

Article in Acta oncologica (Stockholm, Sweden), 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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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Youri Park *Department of Surgery, Dongtan Sacred Heart Hospital, Hallym University, Republic of Korea.
Jin Hoon Nam *Department of Surgery, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Republic of Korea.
Yeonjoo KwonDepartment of Surgery, Dongtan Sacred Heart Hospital, Hallym University, Republic of Korea.
Jung Ho ParkDepartment of Surgery, Hallym University Sacred Heart Hospital, Hallym University, Republic of Korea.
Sanghwa KimDepartment of Surgery, Hallym University Sacred Heart Hospital, Hallym University, Republic of Korea.
Young Ah LimDepartment of Surgery, Dongtan Sacred Heart Hospital, Hallym University, Republic of Korea.
Hee-Joon KangDepartment of Surgery, Dongtan Sacred Heart Hospital, Hallym University, Republic of Korea.
Doyil KimDepartment of Surgery, Hallym University Sacred Heart Hospital, Hallym University, Republic of Korea.
Janghee LeeDepartment of Surgery, Ewha Womans University Mokdong Hospital, Ewha Womans University College of Medicine, Seoul, Republic of Korea. doctorlee0416@naver.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

background and purposeIt has generally been established that younger breast cancer patients exhibit unfavorable biology and poorer prognosis. However, previous studies have not consistently demonstrated differences between younger and older patients. The objective of this study, therefore, was to compare pathological characteristics and prognosis in young patients (age ≤ 40 years) with early breast cancer with those of older patients (age ≥ 55 years). PATIENTS/MATERIAL AND

methodsIndividuals diagnosed with early breast cancer (age ≤ 40 years) and those ≥ 55 years of age, who were treated at two hospitals between June 2003 and December 2019, were identified. Oncological outcomes, including recurrence-free survival (RFS), distant RFS (DRFS), and locoregional RFS (LRRFS), were compared between two groups. Kaplan-Meier survival curves and the Cox proportional hazards model were used to evaluate.

resultsData from 288 young (≤ 40 years) and 830 older (≥ 55 years) patients were included. Pathologically, younger patients exhibited a higher prevalence of high-grade tumors. There was no significant difference in RFS and DRFS between the younger and older patient groups (RFS: hazard ratio 1.11 [95% confidence intervals (CI) 0.74-1.66]; P = 0.613; DRFS: hazard ratio 1.03 [95% CI 0.65-1.62]; P = 0.897). However, LRRFS was unfavorable in younger patients (hazard ratio, 2.15; 95% CI, 1.03-4.49; P = 0.043). Subgroup analysis revealed a significant difference in LRRFS among hormone receptor (HR)-positive/human epidermal growth factor receptor 2 (HER2)-negative breast cancer patients (hazard ratio 4.04 [95% CI 1.17-13.97]; P = 0.027); however, no significant difference was observed in other subtypes.

interpretationYounger patients with breast cancer exhibited a higher frequency of high-grade tumors, although no differences were observed in RFS and DRFS. However, locoregional recurrence was more common among younger patients, especially HR-positive/HER2-negative breast cancer.

Indexed as

Breast NeoplasmsNeoplasm Recurrence, LocalAdultAgedAge FactorsDisease-Free SurvivalErb-b2 Receptor Tyrosine KinasesFemaleHumansKaplan-Meier EstimateMiddle AgedPrognosisRetrospective StudiesERBB2 protein, humanErb-b2 Receptor Tyrosine Kinases

Identifiers

PMID42374837
PMCPMC13324888

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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.