Research Article

Breast Cancer in the United States: A Cross-Sectional Overview

Table 2

Clinical characteristics of breast cancer patients diagnosed between 2004 and 2016.

Variable# (%)

Charlson/Deyo comorbidity score
 02,259,335 (85%)
 1325,670 (12%)
 264,289 (2.4%)
 ≥322,255 (0.8%)
Clinical stage at diagnosis
 0534,244 (21%)
 I1,070,218 (42%)
 II647,845 (25%)
 III220,878 (8.6%)
 IV102,954 (4.0%)
 Unknown95,410
Secondary sites in patients diagnosed at stage IV
 Bone6,934 (68%)
 Brain793 (7.9%)
 Liver2,476 (25%)
 Lung3,072 (31%)
Molecular subtype
 ER+ or PR+, HER2-583,113 (58%)
 ER+ or PR+, HER2+258,750 (26%)
 ER- and PR-, HER2-104,175 (10%)
 ER- and PR-, HER2+64,947 (6.4%)
 Unknown1,660,564
Histological subtype
 Ductal carcinoma1,957,275 (73%)
 Lobular carcinoma402,325 (15%)
 Adenocarcinoma of mixed types1,669 (<0.1%)
 Rare breast carcinomas43,787 (1.6%)
 Inflammatory invasive carcinoma8,803 (0.3%)
 Other carcinomas186,368 (7.0%)
 Intraductal papillary19,330 (0.7%)
 Papillary neoplasms9,536 (0.4%)
 Epithelial-myoepithelial23,751 (0.9%)
 Fibroepithelial tumors3,498 (0.1%)
 Metaplastic tumors11,629 (0.4%)
 Mesenchymal tumors1,758 (<0.1%)
 Tumors of the nipple1,736 (<0.1%)
 Carcinoid tumors64 (<0.1%)
 Malignant lymphoma20 (<0.1%)
Grade
 Well/moderately differentiated1,535,058 (65%)
 Poorly differentiated792,145 (34%)
 Undifferentiated20,949 (0.9%)
 Unknown323,397
 Any hormonal therapy1,475,279 (87%)
 Unknown978,708
 Any chemotherapy907,505 (35%)
 Unknown89,559
 Any immunotherapy94,220 (3.6%)
 Unknown34,964
 Any radiation therapy1,389,019 (53%)
 Unknown29,641
Type of surgery
 None194,693 (7.3%)
 Lumpectomy1,459,286 (55%)
 Mastectomy1,007,588 (38%)
 Unknown9,982
Surgical margins
 No surgery194,693 (7.4%)
 No residual disease2,315,928 (88%)
 Residual disease109,716 (4.2%)
 Unknown51,212

The Charlson/Deyo index is a weighted score assessing overall comorbidity in patients by cross-referencing these cases to a list of international disease classification (ICD) codes known to be important prognosticators of morbidity and mortality [4]. The majority of stage IV patients did not have metastatic site documented, thus these percentages are reflective of the total number of cases for which data were available on this variable ( bone; brain; liver; lung).