Clinical Edge Journal Scan

Higher BMI has an indirect impact on prognosis in invasive lobular breast cancer


 

Key clinical point: A higher body mass index (BMI) was not linked directly to survival outcomes but was linked to worse prognostic clinicopathologic variables in estrogen receptor-positive (ER+)/human epidermal growth factor receptor 2-negative (HER2−) invasive lobular carcinoma (ILC) of the breast.

Major finding: Although BMI was not directly associated with disease-free survival and overall survival outcomes (both P = .08), a higher BMI was associated with larger tumor size (≥2 cm; P < .001), higher tumor grade (grade 3; P = .014), nodal involvement ( P < .001), and multifocal BC ( P = .01), which indicated significantly worsened prognosis.

Study details: This multicenter, retrospective study included 2490 patients with ER+/HER2− ILC of the breast, of which 1410, 712, and 368 patients were lean, overweight, and obese, respectively.

Disclosures: This study was funded by the Luxembourg Cancer Foundation and other sources. The authors declared no conflicts of interest.

Source: Baelen KV, Nguyen H-L, et al. Association of body mass index with clinicopathological features and survival in patients with primary invasive lobular breast cancer. Eur J Cancer. 2023;112988 (Jul 12). Doi: 10.1016/j.ejca.2023.112988

Recommended Reading

Multiprong strategy makes clinical trials less White
Breast Cancer ICYMI
Commentary: CDK4/6 Inhibitors, Breast Irradiation, and Aromatase Inhibitors in Breast Cancer Treatment, July 2023
Breast Cancer ICYMI
PET-CT scans move more women with LABC up to stage IV
Breast Cancer ICYMI
Circulating Tumor DNA Testing and Liquid Biopsy: The Future for Precision Medicine and Guided Targeted Therapy for Breast Cancer?
Breast Cancer ICYMI
Higher risk of death with endocrine therapy nonadherence
Breast Cancer ICYMI
Fatigue after breast cancer radiotherapy: Who’s most at risk?
Breast Cancer ICYMI
Interrupting radiotherapy for TNBC linked to worse survival
Breast Cancer ICYMI
U.S. mammogram update sparks concern, reignites debates
Breast Cancer ICYMI
Meta-analysis establishes association between meningioma and breast cancer
Breast Cancer ICYMI
Interrupting treatment during adjuvant radiotherapy tied to worsened survival in TNBC
Breast Cancer ICYMI