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Type: Journal article
Title: Trends in surgical treatment of younger patients with breast cancer in Australia and New Zealand
Author: Wang, J.
Boult, M.
Tyson, S.
Babidge, W.
Zorbas, H.
Kollias, J.
Roder, D.
Maddern, G.
Citation: ANZ Journal of Surgery, 2008; 78(8):665-669
Publisher: Blackwell Science Asia
Issue Date: 2008
ISSN: 1445-1433
Abstract: Background: The optimal surgical treatment of early breast cancer in young women is not fully determined, while past reports indicate a trend to the increased use of breast-conserving surgery (BCS). This study aims to assess the trend in Australia and New Zealand of BCS use between 1999 and 2006 and to determine pathological factors associated with it. Methods: Data on cancer characteristics and surgical procedures in younger patients with early breast cancer reported to the National Breast Cancer Audit have been analysed. Results: There was little change in the rate of BCS over the last 7 years with an overall rate of 53%. The main factors associated with the use of BCS are low histological grade, absence of extensive intraductal carcinoma (EIC), negative lymph node involvement, unifocal tumour and small tumour size. Conclusion: Between 1999 and 2006, the use of BCS for early breast cancer treatment in younger women was stable. These results show that surgeons contributing data to the National Breast Cancer Audit appear to use pathological factors that are known to increase the risk of local recurrence after BCS, in selecting mastectomy for younger women.
Keywords: audit
breast cancer
breast-conserving surgery
surgical treatment
Description: Journal compilation © 2008 Royal Australasian College of Surgeons
DOI: 10.1111/j.1445-2197.2008.04613.x
Appears in Collections:Aurora harvest
Surgery publications

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