Clinical Characteristics and Prognostic Risk Factors in Breast Cancer With Liver Metastasis.

Background: Liver metastasis is a key adverse prognostic factor in breast cancer patients. This research was aimed to assess the development, risk factors, and prognostic determinants of breast cancer liver metastasis (BCLM). Methods: We retrospectively analyzed the data of breast cancer from the Su...

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Published in:Breast Journal Vol. 2026; pp. 1 - 13
Main Authors: Yu, Dandan, Zhu, Chengjun, Yang, Sujin, Wang, Dandan, Guan, Xiaoxiang, Dattachoudhury, Sreeja
Format: research tables/charts Journal Article
Published: Wiley-Blackwell 6/20/2026
Online Access:View this record in EBSCOhost
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      dt: 6/20/2026
      vid: 2026
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      pub: Wiley-Blackwell
      place: Malden, Massachusetts
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        10.1155/tbj/5088737
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      tig:
        atl: Clinical Characteristics and Prognostic Risk Factors in Breast Cancer With Liver Metastasis.
      aug:
        au:
          Yu, Dandan
          Zhu, Chengjun
          Yang, Sujin
          Wang, Dandan
          Guan, Xiaoxiang
          Dattachoudhury, Sreeja
        affil: Department of Radiation Oncology,, The First Affiliated Hospital of Nanjing Medical University,, Nanjing, 210029,, China, njmu.edu.cn
      sug:
        subj:
          Breast Neoplasms Epidemiology
          Neoplasm Metastasis Epidemiology
          Liver Neoplasms Epidemiology
          Breast Neoplasms Prognosis
          Neoplasm Metastasis Prognosis
          Liver Neoplasms Prognosis
          Breast Neoplasms Risk Factors
          Neoplasm Metastasis Risk Factors
          Liver Neoplasms Risk Factors
          Disease Attributes
          Risk Assessment
          Funding Source
          China
          Human
          Retrospective Design
          Incidence
          Multiple Logistic Regression
          Overall Survival
          Kaplan-Meier Estimator
          Cox Proportional Hazards Model
          Age Factors
          Epidermal Growth Factor Receptors
          Descriptive Statistics
          Liver Neoplasms Surgery
          Neoplasm Grading
          Odds Ratio
          Confidence Intervals
          Data Analysis Software
          Bone Metastases
          Lung Neoplasms
          Brain Neoplasms
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Female
          Race Factors
          Marital Status
          Mortality Risk Factors
          Multivariate Analysis
          Univariate Statistics
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Female
      ab: Background: Liver metastasis is a key adverse prognostic factor in breast cancer patients. This research was aimed to assess the development, risk factors, and prognostic determinants of breast cancer liver metastasis (BCLM). Methods: We retrospectively analyzed the data of breast cancer from the Surveillance, Epidemiology, and End Results (SEER) (N = 560,908) and Jiangsu Province Hospital (JSPH) database (N = 294). The risk factors for BCLM were identified via multivariate logistic regression, and overall survival (OS) was assessed with Kaplan–Meier (KM) survival curves and Cox regression models. Results: In the SEER cohort, liver metastasis attacked 1.3% of patients, and the highest incidence was found in the HR−/HER2+ subtype (4.4%). The risk factors for BCLM include young age, high pathological grade, concurrent bone, lung or brain metastasis, and HER2‐positive or triple‐negative subtype. The median OS of BCLM patients was short (SEER: 22 months; JSPH: 33.5 months). OS was shorter in patients with concomitant metastasis to other organs or with HER2‐negative subtype. Hepatic resection remarkably prolonged survival (SEER: 90 vs. 35 months; JSPH: not reached vs. 31.3 months). In the JSPH cohort, molecular subtype changed in 27.5% of patients during metastasis. Conclusions: The occurrence of BCLM is affected by age, tumor grade, other organ involvement, and molecular subtype. Survival was improved in BCLM patients with liver‐only metastasis, HER2‐positive subtype, or those who underwent hepatic resection. The number and molecular characteristics of liver metastasis are important prognostic predictors, and receptor conversion highlights the need for reassessment of therapeutic strategies during metastatic progression.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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