Research Article

Breast Cancer by Age at Diagnosis in the Gharbiah, Egypt, Population-Based Registry Compared to the United States Surveillance, Epidemiology, and End Results Program, 2004–2008

Table 1

Characteristics of Gharbiah, Egypt, and US SEER breast cancer cases, 2004–2008.

Gharbiah Cancer Registry and (%)US SEER Registries and (%) value

Mean age at diagnosis (SD)51.0 (11.5)61.4 (14.3)<0.0001

Age in years
 ≤40713 (18.7)17,199 (6.3)
 41–541,842 (48.2)84,122 (30.8)<0.0001
 ≥551,264 (33.1)171,698 (62.9)

All ages combined≤40 years of ageAll ages combined≤40 years of age All ages combined ≤40 years of age

Grade
 I29 (1.0)5 (0.9)53,146 (21.5)1,362 (8.6) <0.0001 <0.0001
 II2,465 (88.4)472 (88.2)104,147 (42.1)5,252 (33.0)
 III241 (8.6)49 (9.2)86,815 (35.1)8,945 (56.2)
 IV55 (2.0)9 (1.7)3,448 (1.4)369 (2.3)
 Missing (% of total cases)1,029 (26.9)178 (25.0)25,463 (9.3)1,271 (7.3)

Hormone receptor
 Positive1,495 (77.3)278 (77.4)197,482 (79.6)10,583 (66.9) 0.02 <0.0001
 Negative438 (22.7)81 (22.6)50,749 (20.4)5,233 (33.1)
 Missing (% of total cases)1,886 (49.4)354 (49.6)24,788 (9.1)1,383 (8.0)

Histology
 Mucinous36 (0.9)6 (0.8)6,430 (2.4)259 (1.5) <0.0001 <0.0001
 Duct, NOS2,812 (73.6)530 (74.3)191,138 (70.0)13,652 (79.4)
 Medullary56 (1.5)17 (2.4)1,283 (0.5)196 (1.1)
 Lobular155 (4.1)14 (2.0)22,155 (8.1)495 (2.9)
 Duct and lobular57 (1.5)22 (3.1)19,992 (7.3)892 (5.2)
 Paget disease, mammary43 (1.1)14 (2.0)1,003 (0.4)99 (0.6)
 Sarcomas; phyllodes tumor46 (1.2)14 (2.0)703 (0.3)127 (0.7)
 Other614 (16.1)96 (13.5)30,315 (11.1)1,479 (8.6)

AJCC stage group
 I144 (4.7)22 (3.9)122,936 (48.1)4,887 (30.1) <0.0001 <0.0001
 IIA632 (20.8)108 (19.4)60,856 (23.8)4,643 (28.6)
 IIB546 (18.0)113 (20.3)25,909 (10.1)2,627 (16.2)
 IIIA701 (23.1)135 (24.2)17,205 (6.7)1,910 (11.8)
 IIIB188 (6.2)29 (5.2)6,190 (2.4)436 (2.7)
 IIIC444 (14.6)87 (15.6)7,914 (3.1)777 (4.8)
 IV372 (12.3)64 (11.5)13,788 (5.4)937 (5.8)
 Missing (% of total cases)792 (20.7)155 (21.7)18,221 (6.7)982 (5.7)

Race
 White223,957 (82.0)12,609 (73.3)
 Black27,630 (10.1)2,580 (15.0)
 American Indian/Alaska Native1,256 (0.5)108 (0.6)
 Asian/Pacific Islander18,702 (6.9)1,761 (10.2)
 Other/unknown1,474 (0.5)141 (0.8)

Hispanic25,017 (9.2)3,024 (17.6)
Non-Hispanic248,092 (90.8)14,175 (82.4)

Based on -test comparing Egyptian and US breast cancer cases, missing not included.
Based on chi-square test comparing Egyptian and US breast cancer cases, missing not included.
No cases missing histology; —: race/ethnicity unavailable in GCR.