Table 1 Comparison of clinical and radiological characteristics between patients with HER2 (−) and HER2 (+) EC.
Characteristic | Training cohort (n = 215) | P value | Internal validation cohort (n = 92) | P value | External validation cohort 1 (n = 64) | P value | External validation cohort 2 (n = 121) | P value | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
HER2 (−) (n = 126) | HER2 (+) (n = 89) | HER2 (−) (n = 54) | HER2 (+) (n = 38) | HER2 (−) (n = 41) | HER2 (+) (n = 23) | HER2 (−) (n = 67) | HER2 (+) (n = 54) | |||||
Age, years | 0.188 | 0.728 | 0.282 | 0.059 | ||||||||
< 60 | 90 (71.4) | 56 (62.9) | 36 (66.7) | 24 (63.2) | 27 (65.9) | 12 (52.2) | 46 (68.7) | 28 (51.9) | ||||
≥ 60 | 36 (28.6) | 33 (37.1) | 18 (33.3) | 14 (36.8) | 14 (34.1) | 11 (47.8) | 21 (31.3) | 26 (48.1) | ||||
Menopause status | 0.724 | 0.418 | 0.885 | 0.570 | ||||||||
Postmenopausal | 72 (57.1) | 53 (59.6) | 33 (61.1) | 20 (52.6) | 26 (63.4) | 15 (65.2) | 35 (52.2) | 31 (57.4) | ||||
Premenopausal | 54 (42.9) | 36 (40.4) | 21 (38.9) | 18 (47.4) | 15 (36.6) | 8 (34.8) | 32 (47.8) | 23 (42.6) | ||||
BMI, kg/m2 | 25.62 ± 3.20 | 25.30 ± 3.62 | 0.502 | 26.54 ± 2.55 | 25.75 ± 3.09 | 0.186 | 25.55 ± 3.06 | 24.89 ± 3.33 | 0.428 | 25.94 ± 2.94 | 25.69 ± 3.15 | 0.659 |
Differentiation | < 0.001 | 0.030 | 0.026 | < 0.001 | ||||||||
Poor | 17 (13.5) | 33 (37.1) | 6 (11.1) | 11 (28.9) | 7 (17.1) | 9 (39.1) | 2 (3.0) | 17 (31.5) | ||||
Moderate/Well | 109 (86.5) | 56 (62.9) | 48 (88.9) | 27 (71.1) | 34 (82.9) | 14 (60.9) | 65 (97.0) | 37 (68.5) | ||||
FIGO stage | 0.152 | 0.702 | 0.516 | 0.194 | ||||||||
I–II | 112 (88.9) | 73 (82.0) | 47 (87.0) | 32 (84.2) | 31 (75.6) | 19 (82.6) | 62 (92.5) | 46 (85.2) | ||||
III–IV | 14 (11.1) | 16 (18.0) | 7 (13.0) | 6 (15.8) | 10 (24.4) | 4 (17.4) | 5 (7.5) | 8 (14.8) | ||||
Tumor size, cm | 0.334 | 0.099 | 0.759 | 0.828 | ||||||||
< 2 | 20 (15.9) | 10 (11.2) | 13 (24.1) | 4 (10.5) | 3 (7.3) | 3 (13.0) | 9 (13.4) | 8 (14.8) | ||||
≥ 2 | 106 (84.1) | 79 (88.8) | 41 (75.9) | 34 (89.5) | 38 (92.7) | 20 (87.0) | 58 (86.6) | 46 (85.2) | ||||
Tumor margin | 0.410 | 0.202 | 0.773 | 0.971 | ||||||||
Well-defined | 106 (84.1) | 71 (79.8) | 50 (92.6) | 31 (81.6) | 37 (90.2) | 22 (95.7) | 56 (83.6) | 45 (83.3) | ||||
Ill-defined | 20 (15.9) | 18 (20.2) | 4 (7.4) | 7 (18.4) | 4 (9.8) | 1 (4.3) | 11 (16.4) | 9 (16.7) | ||||
Tumor component | 0.225 | 0.191 | 0.578 | 0.159 | ||||||||
Solid | 55 (43.7) | 32 (36.0) | 28 (51.9) | 13 (34.2) | 17 (41.5) | 7 (30.4) | 42 (62.7) | 25 (46.3) | ||||
Solid-cystic | 42 (33.3) | 40 (44.9) | 19 (35.2) | 16 (42.1) | 16 (39.0) | 12 (52.2) | 20 (29.8) | 21 (38.9) | ||||
Cystic | 29 (23.0) | 17 (19.1) | 7 (12.9) | 9 (23.7) | 8 (19.5) | 4 (17.4) | 5 (7.5) | 8 (14.8) | ||||
Myometrial invasion | < 0.001 | 0.018 | 0.041 | 0.029 | ||||||||
Deep | 21 (16.7) | 41 (46.1) | 14 (25.9) | 19 (50.0) | 8 (19.5) | 10 (43.5) | 15 (22.4) | 32 (40.7) | ||||
Superficial | 105 (83.3) | 48 (53.9) | 40 (74.1) | 19 (50.0) | 33 (80.5) | 13 (56.5) | 52 (77.6) | 32 (59.3) | ||||
Lymph node status | 0.034 | 0.137 | 0.842 | 0.072 | ||||||||
Positive | 18 (14.3) | 23 (25.8) | 11 (20.4) | 13 (34.2) | 5 (12.2) | 4 (17.4) | 6 (8.9) | 11 (20.4) | ||||
Negative | 108 (85.7) | 66 (74.2) | 43 (79.6) | 25 (65.8) | 36 (87.8) | 19 (82.6) | 61 (91.1) | 43 (79.6) | ||||
Ascites | 0.374 | 0.893 | 0.510 | 0.732 | ||||||||
Present | 30 (23.8) | 26 (29.2) | 12 (22.2) | 8 (21.1) | 8 (19.5) | 3 (13.0) | 12 (17.9) | 11 (20.4) | ||||
Absent | 96 (76.2) | 63 (70.8) | 42 (77.8) | 30 (78.9) | 33 (80.5) | 20 (87.0) | 55 (82.1) | 43 (79.6) |