CHANGING PRACTICES IN THE SURGICAL-TREATMENT OF BREAST-CANCER IN JAPAN - A NATIONWIDE SURVEY BY THE JAPANESE BREAST-CANCER SOCIETY

被引：4

作者：

IZUO, M

ISHIDA, T

机构：

[1] Department of Endocrine Surgery, Tokyo Women's Medical College, Tokyo, 162, 8-1 Kawada-cho, Shinjuku-ku

[2] Second Department of Surgery, Gunma University School of Medicine, Maebashi, 371

来源：

SURGERY TODAY-THE JAPANESE JOURNAL OF SURGERY | 1994年 / 24卷 / 02期

关键词：

BREAST CANCER; NATIONAL SURVEY; BREAST-CONSERVING SURGERY; GEOGRAPHIC VARIATION;

D O I：

10.1007/BF02473394

中图分类号：

R61 [外科手术学];

学科分类号：

摘要：

A nationwide survey in Japan of the patients with primary breast cancer from 1989 to 1991 revealed marked changes in the surgical treatment of the disease. During this period, there was a significant trend toward fewer instances of radical and extended radical mastectomies, and an increase in modified radical mastectomies and breast-conserving surgery. The percentage of breast-conserving surgery for the early-stage disease increased from 6.8% to 12.7%. Among the types of operations for breast-conserving surgery, quadrantectomy was used for 51.5% of the cases, while either a partial mastectomy or a subcutaneous mastectomy was used for 18.2% and 18.9%, respectively; a lumpectomy was performed in 10.9% of the cases. As for the proportion of patients receiving radiation therapy after breast-conserving surgery, 77% of those undergoing lumpectomy received radiation, in contrast to only 43% of the patients undergoing quadrantectomy. According to the data from 1991, we also found that breast-conserving surgery was performed more often in larger cities and urban areas in Japan. As a result, we found that substantial changes in the treatment of localized breast cancer had taken place from 1989 to 1991. Regarding the details of breast-conserving surgery, however, some variation still remains in spite of the publication of numerous clinical trials.

引用

页码：133 / 136

页数：4

共 14 条

[1]

Izuo M., Recent trends in breast cancer surgery in Japan. Increase of conservative surgery, Asian Med J, 30, pp. 607-615, (1987)

[2]

Izuo M., Yokoe T., Recent trends in breast cancer surgery in Japan (in Japanese with English abstract), Nippon Geka Gakkai Zasshi (J Jpn Surg Soc), 90, pp. 1298-1301, (1989)

[3]

Veronesi U., Saccozzi R., Del Vecchio M., Banfi A., Clemente C., De Lena M., Gallus G., Greco M., Luini A., Marubini E., Muscolino G., Rilke F., Salvadori B., Zecchini A., Zucali R., Comparing radical mastectomy with quadrantectomy, axillary dissection, and radiotherapy in patients with small cancers of the breast, New England Journal of Medicine, 305, pp. 6-11, (1981)

[4]

Nemoto T., Changing treatment for breast cancer: A survey of surgeons, Breast, 4, pp. 16-19, (1978)

[5]

Lazzaro E.J., Rush B.F., Swaminathan A.P., Changing attitudes in the management of cancer of the breast, Surgery, 84, pp. 441-447, (1978)

[6]

Kleinman J.C., Machlin S.R., Madans J., Makuc D., Feldman J.J., Changing practice in the surgical treatment of breast cancer: The national perspective, Med Care, 21, pp. 1232-1242, (1983)

[7]

Albert S., Belle S., Swanson G.M., Recent trends in the treatment of primary breast cancer, Cancer, 41, pp. 2399-2404, (1978)

[8]

Mann B.A., Samet J.M., Hunt W.C., Key C.R., Goodwin J.M., Goodwin J.S., Changing treatment of breast cancer in New Mexico from 1969 through 1985, JAMA, 259, pp. 3413-3417, (1985)

[9]

Fisher B., Bauer M., Margolese R., Poisson R., Pilch Y., Redmond C., Fisher E., Wolmark N., Deutsch M., Montague E., Soffer E., Wickerham L., Lerner H., Glass A., Shibata H., Deckers P., Ketcham A., Oishi R., Russell I., Five-year results of a randomized clinical trial comparing total mastectomy and segmental mastectomy with or without radiation in the treatment of breast cancer, N Engl J Med, 312, pp. 665-673, (1985)

[10]

Steinberg M.D., Juliano M.A., Wise L., Psychological outcome of lumpectomy versus mastectomy in the treatment of breast cancer, Am J Psychiatry, 142, pp. 34-38, (1985)

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