Minimising unnecessary mastectomies in a predominantly Chinese community.

IF 1.6 Q4 ONCOLOGY International Journal of Surgical Oncology Pub Date : 2015-01-01 Epub Date: 2015-01-26 DOI:10.1155/2015/684021
Mona P Tan, Nadya Y Sitoh, Yih Y Sitoh
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引用次数: 2

Abstract

Background: Recent data shows that the use of breast conservation treatment (BCT) for breast cancer may result in superior outcomes when compared with mastectomy. However, reported rates of BCT in predominantly Chinese populations are significantly lower than those reported in Western countries. Low BCT rates may now be a concern as they may translate into suboptimal outcomes. A study was undertaken to evaluate BCT rates in a cohort of predominantly Chinese women.

Methods: All patients who underwent surgery on the breast at the authors' healthcare facility between October 2008 and December 2011 were included in the study and outcomes of treatment were evaluated.

Results: A total of 171 patients were analysed. Two-thirds of the patients were of Chinese ethnicity. One hundred and fifty-six (85.9%) underwent BCT. Ninety-eight of 114 Chinese women (86%) underwent BCT. There was no difference in the proportion of women undergoing BCT based on ethnicity. After a median of 49 months of follow-up, three patients (1.8%) had local recurrence and 5 patients (2.9%) suffered distant metastasis. Four patients (2.3%) have died from their disease.

Conclusion: BCT rates exceeding 80% in a predominantly Chinese population are possible with acceptable local and distant control rates, thereby minimising unnecessary mastectomies.

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在以华人为主的社区,尽量减少不必要的乳房切除术。
背景:最近的数据显示,与乳房切除术相比,使用乳房保留治疗(BCT)治疗乳腺癌可能会产生更好的结果。然而,在以中国人为主的人群中,报告的BCT发病率明显低于西方国家。低BCT率现在可能是一个问题,因为它们可能转化为次优结果。我们进行了一项研究,以评估以中国女性为主的队列中的BCT率。方法:2008年10月至2011年12月期间在作者医疗机构接受乳房手术的所有患者纳入研究,并对治疗结果进行评估。结果:共分析了171例患者。三分之二的患者是华裔。156例(85.9%)行BCT。114名中国女性中有98名(86%)接受了BCT。妇女接受BCT的比例没有种族差异。中位随访49个月后,3例(1.8%)局部复发,5例(2.9%)远处转移。4名患者(2.3%)死于疾病。结论:在以中国人为主的人群中,BCT率超过80%是可能的,局部和远处控制率可以接受,从而最大限度地减少不必要的乳房切除术。
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来源期刊
CiteScore
3.70
自引率
0.00%
发文量
5
审稿时长
20 weeks
期刊介绍: International Journal of Surgical Oncology is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of surgical oncology.
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