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Do breast quadrants explain racial disparities in breast cancer outcomes?


ABSTRACT: PURPOSE:Tumors of the inner quadrants of the breast are associated with poorer survival than those of the upper-outer quadrant. It is unknown whether racial differences in breast cancer outcomes are modified by breast quadrant, in addition to comparisons among Asian subgroups. METHODS:Using the Surveillance, Epidemiology, and End Results database, we analyzed data among women diagnosed with non-metastatic invasive breast cancer between 1990 and 2014. We performed Cox proportional hazards regression models to assess the associations of race with breast cancer-specific survival and overall survival, stratified by breast quadrants. The models were adjusted for age, year of the diagnosis, tumor size, grade, histological type, tumor laterality, lymph node, estrogen receptor, progesterone receptor, and treatments. RESULTS:Among 454,154 patients (73.0% White, 10.0% Black, 7.8% Asian/PI, and 9.2% Hispanic), 54.3% had tumors diagnosed in the upper-outer quadrant of the breast. Asian/PI women were more likely than White to have tumors diagnosed in the nipple/central portion of the breast and were less likely to have diagnosed in the upper-outer quadrant (P?

SUBMITTER: Han Y 

PROVIDER: S-EPMC6924513 | biostudies-literature | 2019 Nov

REPOSITORIES: biostudies-literature

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Do breast quadrants explain racial disparities in breast cancer outcomes?

Han Yunan Y   Moore Justin Xavier JX   Langston Marvin M   Fuzzell Lindsay L   Khan Saira S   Lewis Marquita W MW   Colditz Graham A GA   Liu Ying Y  

Cancer causes & control : CCC 20190827 11


<h4>Purpose</h4>Tumors of the inner quadrants of the breast are associated with poorer survival than those of the upper-outer quadrant. It is unknown whether racial differences in breast cancer outcomes are modified by breast quadrant, in addition to comparisons among Asian subgroups.<h4>Methods</h4>Using the Surveillance, Epidemiology, and End Results database, we analyzed data among women diagnosed with non-metastatic invasive breast cancer between 1990 and 2014. We performed Cox proportional  ...[more]

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