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Sökning: id:"swepub:oai:DiVA.org:uu-521184" > Association of clin...

  • Söderberg, EmmaUmeå universitet,Kirurgi,Department of Surgery, Sundsvall Hospital, Sundsvall, Sweden,Sundsvall Hosp, Dept Surg, Sundsvall, Sweden.;Umeå Univ, Dept Surg & Perioperat Sci Surg, Umeå, Sweden.;Sundsvall Hosp, Dept Surg, Lasarettsvagen 21, S-85643 Sundsvall, Sweden. (författare)

Association of clinicopathologic variables and patient preference with the choice of surgical treatment for early-stage breast cancer : A registry-based study

  • Artikel/kapitelEngelska2024

Förlag, utgivningsår, omfång ...

  • Elsevier,2024
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-521184
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-521184URI
  • https://doi.org/10.1016/j.breast.2023.103614DOI
  • https://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-218321URI
  • https://gup.ub.gu.se/publication/335228URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

Ingår i deldatabas

Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Introduction: Observational studies suggest that breast conserving surgery (BCS) and radiotherapy (RT) offers superior survival compared to mastectomy. The aim was to compare patient and tumour characteristics in women with invasive breast cancer <= 30 mm treated with either BCS or mastectomy, and to explore the underlying reason for choosing mastectomy.Methods: Women registered with breast cancer <= 30 mm and <= 4 positive axillary lymph nodes in the Swedish National Breast Cancer Register 2013-2016 were included. Logistic regression analyses were performed to assess the association of tumour and patient characteristics with receiving a mastectomy vs. BCS.Results: Of 1860 breast cancers in 1825 women, 1346 were treated by BCS and 514 by mastectomy. Adjuvant RT was given to 1309 women (97.1 %) after BCS and 146 (27.6 %) after mastectomy. Variables associated with receiving a mastectomy vs. BCS included clinical detection (Odds Ratio (OR) 4.15 (95 % Confidence Interval (CI) 3.35-5.14)) and clinical stage (T2 vs. T1 (OR 3.68 (95 % CI 2.90-4.68)), N1 vs. N0 (OR 2.02 (95 % CI 1.38-2.96)). Women receiving mastectomy more often had oestrogen receptor negative, HER2 positive tumours of higher histological grade. The most common reported reason for mastectomy was large or multifocal tumours (53.5 %), followed by patient preference (34.5 %).Conclusion: Choice of surgery is strongly associated with key prognostic factors among women undergoing BCS with RT compared to mastectomy. Failure to control for all relevant confounders may bias results in outcome studies in favour of BCS.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Wärnberg, FredrikGothenburg University,Göteborgs universitet,Institutionen för kliniska vetenskaper, Avdelningen för kirurgi,Institute of Clinical Sciences, Department of Surgery(Swepub:gu)xwarnf (författare)
  • Wennstig, Anna-Karin,1973-Umeå universitet,Kirurgi,Department of Oncology, Sundsvall Hospital, Sundsvall, Sweden,Umeå Univ, Dept Surg & Perioperat Sci Surg, Umeå, Sweden.;Sundsvall Hosp, Dept Oncol, Sundsvall, Sweden.(Swepub:umu)anwe0167 (författare)
  • Nilsson, GregerUppsala universitet,Institutionen för immunologi, genetik och patologi,Gävle Cent Hosp, Dept Oncol, Gävle, Sweden.;Visby Hosp, Dept Oncol, Visby, Sweden.,Klinisk onkologi,Department of Immunology, Genetics and Pathology, Section of Experimental and Clinical Oncology, Uppsala University, University Hospital, Uppsala, Sweden; Department of Oncology, Gävle Hospital, Gävle, Sweden; Department of Oncology, Visby Hospital, Visby, Sweden(Swepub:uu)grnil933 (författare)
  • Garmo, HansUppsala universitet,Institutionen för kirurgiska vetenskaper,Department of Surgical Sciences, Uppsala University, Uppsala, Sweden(Swepub:uu)hga27600 (författare)
  • Holmberg, LarsUppsala universitet,Endokrinkirurgi,Kings Coll London, Sch Canc & Pharmaceut Sci, Translat Oncol & Urol Res TOUR, London, England.,Department of Surgical Sciences, Uppsala University, Uppsala, Sweden; Translational Oncology & Urology Research (TOUR), School of Cancer and Pharmaceutical Sciences, King's College London, London, United Kingdom(Swepub:uu)larsholmb (författare)
  • Blomqvist, CarlHelsinki Univ Hosp, Dept Oncol, Helsinki, Finland.,Department of Oncology, Helsinki University Hospital, Helsinki, Finland (författare)
  • Sund, MalinUmeå universitet,Institutionen för kirurgisk och perioperativ vetenskap,Department of Surgery, University of Helsinki and Helsinki University Hospital, Helsinki, Finland,Umeå Univ, Dept Surg & Perioperat Sci Surg, Umeå, Sweden.;Univ Helsinki, Dept Surg, Helsinki, Finland.;Helsinki Univ Hosp, Helsinki, Finland.(Swepub:umu)masu0021 (författare)
  • Wadsten, CharlottaUmeå universitet,Kirurgi,Department of Surgery, Sundsvall Hospital, Sundsvall, Sweden,Sundsvall Hosp, Dept Surg, Sundsvall, Sweden.;Umeå Univ, Dept Surg & Perioperat Sci Surg, Umeå, Sweden.(Swepub:umu)chwa0052 (författare)
  • Umeå universitetKirurgi (creator_code:org_t)

Sammanhörande titlar

  • Ingår i:Breast: Elsevier730960-97761532-3080

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