RT Journal Article T1 Survival impact of primary tumor resection in de novo metastatic breast cancer patients (GEICAM/El Alamo Registry). A1 Lopez-Tarruella, Sara A1 Escudero, M J A1 Pollan, Marina A1 Martin, Miguel A1 Jara, Carlos A1 Bermejo, Begoña A1 Guerrero-Zotano, Angel A1 Garcia-Saenz, Jose A1 Santaballa, Ana A1 Alba, Emilio A1 Andres, Raquel A1 Martinez, Purificacion A1 Calvo, Lourdes A1 Fernandez, Antonio A1 Batista, Norberto A1 Llombart-Cussac, Antonio A1 Anton, Antonio A1 Lahuerta, Ainhara A1 de la Haba, Juan A1 Lopez-Vega, Jose Manuel A1 Carrasco, E K1 Cancer epidemiology K1 Breast cancer AB The debate about surgical resection of primary tumor (PT) in de novo metastatic breast cancer (MBC) patients persists. We explored this approach's outcomes in patients included in a retrospective registry, named El Álamo, of breast cancer patients diagnosed in Spain (1990-2001). In this analysis we only included de novo MBC patients, 1415 of whom met the study's criteria. Descriptive, Kaplan-Meier and Cox regression analyses were carried out. Median age was 63.1 years, 49.2% of patients had single-organ metastasis (skin/soft tissue [16.3%], bone [33.8%], or viscera [48.3%]). PT surgery (S) was performed in 44.5% of the cases. S-group patients were younger, had smaller tumors, higher prevalence of bone and oligometastatic disease, and lower prevalence of visceral involvement. With a median follow-up of 23.3 months, overall survival (OS) was 39.6 versus 22.4 months (HR = 0.59, p  PB Nature Publishing Group YR 2019 FD 2019-12-02 LK http://hdl.handle.net/10668/14894 UL http://hdl.handle.net/10668/14894 LA en NO Lopez-Tarruella S, Escudero MJ, Pollan M, Martín M, Jara C, Bermejo B, et al. Survival impact of primary tumor resection in de novo metastatic breast cancer patients (GEICAM/El Alamo Registry). Sci Rep. 2019 Dec 27;9(1):20081. DS RISalud RD Apr 7, 2025