- 作者：Baoning Zhang ; Qingkun Song ; Bin Zhang ; Zhonghua Tang ; Xiaoming Xie ; Hongjian Yang ; Jianjun He ; Hui Li ; Jiayuan Li ; Jing Li ; Jinhu Fan ; Rong Huang ; Huiming Zhang ; Youlin Qiao
- 关键词：Change of surgical managements of breast cancer ; Modified radical mastectomy ; Halsted radical mastectomy ; Breast conserving surgery
- 刊名：The Breast
- 出版年：2013
- 出版时间：October, 2013
- 年：2013
- 卷：22
- 期：5
- 页码：676-681
- 全文大小：276 K
Purpose
To study the change of surgical treatments for breast cancer in China over the recent 10 years and the relationship between such a changes and social economical development.Methods
The data were extracted from the 10-year database of female primary breast cancer at 7 tertiary hospitals from various geographic areas in China. The Chi-square Cochran-Armitage trend test was used to measure the difference.
Results
Over the 10 year period, mastectomy showed a decline trend while breast conserving surgeries increased. The modified radical mastectomy was the primarily surgical treatment. Among various types of mastectomies, modified radical mastectomy was increasing while Halsted radical mastectomy had shown a decrease trend; no significant changes were observed for the simple mastectomy. Halsted radical mastectomy and breast conserving surgery were used in a higher proportion in high economic areas than low economic areas, while the modified radical mastectomy has been underused in hospitals from high economic areas.
Conclusions
Modified radical mastectomy was the overall most common choice of operation in China. Breast conserving surgery has been less popular but had been showing an increasing trend. Halsted radical mastectomy has still been in use but showing a decrease these years. Surgeries were not adherent to guidelines completely and needed further effective training.