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Factors and outcomes associated with surgical treatment options of contralateral breast cancer

Abstract Background The treatment for a contralateral breast cancer (CBC) presents a growing dilemma given the expanding number of long-term survivors. We hypothesize that there will be specific surgical treatment trends with demographic differences between the treatment groups. Methods The Surveill... Full description

Journal Title: The American journal of surgery 2014, Vol.208 (4), p.524-530
Main Author: Arrington, Amanda K., M.D
Other Authors: Voci, Amy, D.O , Reparaz, Laura, M.Sc , Fry, William, M.D
Format: Electronic Article Electronic Article
Language: English
Subjects:
Age
Quelle: Alma/SFX Local Collection
Publisher: United States: Elsevier Inc
ID: ISSN: 0002-9610
Link: https://www.ncbi.nlm.nih.gov/pubmed/25129430
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title: Factors and outcomes associated with surgical treatment options of contralateral breast cancer
format: Article
creator:
  • Arrington, Amanda K., M.D
  • Voci, Amy, D.O
  • Reparaz, Laura, M.Sc
  • Fry, William, M.D
subjects:
  • Abridged Index Medicus
  • Adult
  • Age
  • Age Factors
  • Aged
  • Aged, 80 and over
  • Breast cancer
  • Breast Neoplasms - diagnosis
  • Breast Neoplasms - mortality
  • Breast Neoplasms - surgery
  • Cancer therapies
  • Care and treatment
  • Confidence intervals
  • Contralateral breast cancer
  • Databases
  • Demography
  • Epidemiology
  • Ethnicity
  • Female
  • Follow-Up Studies
  • Humans
  • Mammaplasty - methods
  • Marital status
  • Mastectomy
  • Mastectomy, Radical - methods
  • Mastectomy, Segmental - methods
  • Medical diagnosis
  • Middle Aged
  • Mortality
  • Multivariate analysis
  • Neoplasm Staging
  • Radiation therapy
  • Retrospective Studies
  • Second breast cancer
  • SEER Program
  • Surgery
  • Surgical treatments
  • Surveillance
  • Survival Rate - trends
  • Transplants & implants
  • United States - epidemiology
  • Womens health
ispartof: The American journal of surgery, 2014, Vol.208 (4), p.524-530
description: Abstract Background The treatment for a contralateral breast cancer (CBC) presents a growing dilemma given the expanding number of long-term survivors. We hypothesize that there will be specific surgical treatment trends with demographic differences between the treatment groups. Methods The Surveillance, Epidemiology, and End Results (SEER) cancer database was queried to identify CBC patients from 1998 to 2010. Relevant data were compared among the surgical treatment groups of lumpectomy, mastectomy, and mastectomy/reconstruction. Results Of 1,534 patients, 31% underwent lumpectomy and 69% underwent mastectomy [201 (21%) mastectomy/reconstruction; 748 (69%) mastectomy alone]. Older patients (age >80 years) were more likely to undergo lumpectomy; those with larger tumors (T4) or node-positive disease more often underwent mastectomy. Overall survival was significantly higher in the mastectomy/reconstruction group ( P = .05). Conclusions Younger age, larger tumor size, and positive nodal disease were independently associated with mastectomy. As the number of long-term breast cancer survivors increases, factors contributing to CBC treatments must be studied to maximize survival potential.
language: eng
source: Alma/SFX Local Collection
identifier: ISSN: 0002-9610
fulltext: fulltext
issn:
  • 0002-9610
  • 1879-1883
url: Link


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titleFactors and outcomes associated with surgical treatment options of contralateral breast cancer
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creatorArrington, Amanda K., M.D ; Voci, Amy, D.O ; Reparaz, Laura, M.Sc ; Fry, William, M.D
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descriptionAbstract Background The treatment for a contralateral breast cancer (CBC) presents a growing dilemma given the expanding number of long-term survivors. We hypothesize that there will be specific surgical treatment trends with demographic differences between the treatment groups. Methods The Surveillance, Epidemiology, and End Results (SEER) cancer database was queried to identify CBC patients from 1998 to 2010. Relevant data were compared among the surgical treatment groups of lumpectomy, mastectomy, and mastectomy/reconstruction. Results Of 1,534 patients, 31% underwent lumpectomy and 69% underwent mastectomy [201 (21%) mastectomy/reconstruction; 748 (69%) mastectomy alone]. Older patients (age >80 years) were more likely to undergo lumpectomy; those with larger tumors (T4) or node-positive disease more often underwent mastectomy. Overall survival was significantly higher in the mastectomy/reconstruction group ( P = .05). Conclusions Younger age, larger tumor size, and positive nodal disease were independently associated with mastectomy. As the number of long-term breast cancer survivors increases, factors contributing to CBC treatments must be studied to maximize survival potential.
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languageeng
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subjectAbridged Index Medicus ; Adult ; Age ; Age Factors ; Aged ; Aged, 80 and over ; Breast cancer ; Breast Neoplasms - diagnosis ; Breast Neoplasms - mortality ; Breast Neoplasms - surgery ; Cancer therapies ; Care and treatment ; Confidence intervals ; Contralateral breast cancer ; Databases ; Demography ; Epidemiology ; Ethnicity ; Female ; Follow-Up Studies ; Humans ; Mammaplasty - methods ; Marital status ; Mastectomy ; Mastectomy, Radical - methods ; Mastectomy, Segmental - methods ; Medical diagnosis ; Middle Aged ; Mortality ; Multivariate analysis ; Neoplasm Staging ; Radiation therapy ; Retrospective Studies ; Second breast cancer ; SEER Program ; Surgery ; Surgical treatments ; Surveillance ; Survival Rate - trends ; Transplants & implants ; United States - epidemiology ; Womens health
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descriptionAbstract Background The treatment for a contralateral breast cancer (CBC) presents a growing dilemma given the expanding number of long-term survivors. We hypothesize that there will be specific surgical treatment trends with demographic differences between the treatment groups. Methods The Surveillance, Epidemiology, and End Results (SEER) cancer database was queried to identify CBC patients from 1998 to 2010. Relevant data were compared among the surgical treatment groups of lumpectomy, mastectomy, and mastectomy/reconstruction. Results Of 1,534 patients, 31% underwent lumpectomy and 69% underwent mastectomy [201 (21%) mastectomy/reconstruction; 748 (69%) mastectomy alone]. Older patients (age >80 years) were more likely to undergo lumpectomy; those with larger tumors (T4) or node-positive disease more often underwent mastectomy. Overall survival was significantly higher in the mastectomy/reconstruction group ( P = .05). Conclusions Younger age, larger tumor size, and positive nodal disease were independently associated with mastectomy. As the number of long-term breast cancer survivors increases, factors contributing to CBC treatments must be studied to maximize survival potential.
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29Multivariate analysis
30Neoplasm Staging
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32Retrospective Studies
33Second breast cancer
34SEER Program
35Surgery
36Surgical treatments
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40United States - epidemiology
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39Transplants & implants
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abstractAbstract Background The treatment for a contralateral breast cancer (CBC) presents a growing dilemma given the expanding number of long-term survivors. We hypothesize that there will be specific surgical treatment trends with demographic differences between the treatment groups. Methods The Surveillance, Epidemiology, and End Results (SEER) cancer database was queried to identify CBC patients from 1998 to 2010. Relevant data were compared among the surgical treatment groups of lumpectomy, mastectomy, and mastectomy/reconstruction. Results Of 1,534 patients, 31% underwent lumpectomy and 69% underwent mastectomy [201 (21%) mastectomy/reconstruction; 748 (69%) mastectomy alone]. Older patients (age >80 years) were more likely to undergo lumpectomy; those with larger tumors (T4) or node-positive disease more often underwent mastectomy. Overall survival was significantly higher in the mastectomy/reconstruction group ( P = .05). Conclusions Younger age, larger tumor size, and positive nodal disease were independently associated with mastectomy. As the number of long-term breast cancer survivors increases, factors contributing to CBC treatments must be studied to maximize survival potential.
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pubElsevier Inc
pmid25129430
doi10.1016/j.amjsurg.2014.05.010
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