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首页> 外文期刊>ANZ journal of surgery >Trends in surgical treatment of younger patients with breast cancer in Australia and New Zealand.
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Trends in surgical treatment of younger patients with breast cancer in Australia and New Zealand.

机译：澳大利亚和新西兰的年轻乳腺癌患者的外科治疗趋势。

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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.
机译：背景：年轻女性早期乳腺癌的最佳手术治疗方法尚未完全确定，而过去的报道表明，保乳手术（BCS）的使用呈增加趋势。这项研究旨在评估澳大利亚和新西兰在1999年至2006年间使用BCS的趋势，并确定与之相关的病理因素。方法：已经分析了由美国国家乳腺癌审计局报告的年轻早期乳腺癌患者的癌症特征和手术程序的数据。结果：过去7年中，BCS的发生率几乎没有变化，总体发生率为53％。与使用BCS相关的主要因素是组织学评分低，不存在广泛的导管内癌（EIC），淋巴结受累，单灶性肿瘤和肿瘤小。结论：在1999年至2006年期间，BCS在年轻女性中早期乳腺癌治疗中的应用稳定。这些结果表明，向国家乳腺癌审计委员会提供数据的外科医生似乎在选择年轻女性乳房切除术时使用了已知会增加BCS后局部复发风险的病理因素。

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