PT  - JOURNAL ARTICLE
AU  - MIRCO PISTELLI
AU  - ALESSANDRA PAGLIACCI
AU  - NICOLA BATTELLI
AU  - ALFREDO SANTINELLI
AU  - TOMMASINA BISCOTTI
AU  - ZELMIRA BALLATORE
AU  - ROSSANA BERARDI
AU  - STEFANO CASCINU
TI  - Prognostic Factors in Early-stage Triple-negative Breast Cancer: Lessons and Limits from Clinical Practice
DP  - 2013 Jun 01
TA  - Anticancer Research
PG  - 2737--2742
VI  - 33
IP  - 6
4099  - http://ar.iiarjournals.org/content/33/6/2737.short
4100  - http://ar.iiarjournals.org/content/33/6/2737.full
SO  - Anticancer Res2013 Jun 01; 33
AB  - Aim: Triple-negative breast cancer has a poor prognosis due to its aggressive behaviour and lack of effective targeted therapies. We aimed to verify whether clinical and/or pathological features may help us identify triple-negative breast cancer with a different outcome. Patients and Methods: Patients diagnosed with stage I-III triple-negative breast cancer at our Institution were included in the analysis. The impact of various factors (age, menopausal status, tumor characteristics, adjuvant treatment, etc.) on survival was evaluated. Univariate and multivariate analyses were performed. Results: A total of 149 patients were included in this retrospective analysis. At univariate analysis, a better disease-free survival was related to smaller tumour size and absence of lymphovascular involvement or necrosis. At multivariate analysis, tumour size and lympho-vascular invasion were independent prognostic factors. Conclusion: Triple-negative breast cancer represents a heterogeneous disease with different biology and clinical behaviour. These results re-inforce the wide use of adjuvant chemotherapy for all types of triple-negative breast cancer, regardless of tumour size or lymphovascular invasion. New biomarkers are mandatory for a better stratification of this heterogeneous population.