Annals of Surgical Treatment and Research

The Korean Surgical Society (대한외과학회)
권호 표지

Breast Cancer: A 50-year Review of 2,677 Cases

50년간 수술한 유방암 환자 2,677예의 임상적 고찰

Yoo, Dae-Woo;Lee, Chung-Han
유대우;이충한

  • Published : 20020400
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Abstract

Purpose: Breast cancer is increasing in Korea. and it has become the second most common cancer in females. This study reviewed the history of surgery and clinical analysis with follow up result on 2,677 cases of breast cancer operated at the GospeI HospitaI during the 50-year period 1951 to 2000 was performed. Methods: We reviewed breast cancer cases by operative record datas and previous reports of our hospital during the 50-year period. Results: Minimal age was 14 years old and Miximal age was 90 years old in all cases. The total count of operation was 2,677 cases during the 50-year period (1951$\sim$2000). In 1951, the hospital was opened. In 1953, 52-year old female was operated by mammary amputation. In 1958, 47-year old female was operated by radical mastectomy. In 1976, 50-year old female was operated by modified radical mastectomy. Since 1996, radical mastectomy has not been operated any more. Radical mastectomy was performed in 234 cases (8.7%), modified radical mastectomy in 2,164 cases (81.0%), simple mastectomy in 79 cases (3.0%), partial mastectomy with axillary dissection in 90 cases (3.4%), wide excision in 110 cases (4.0%) Overall 5 year survival rate was 41.5%(1970$\sim$1982), 79.0% (1983$\sim$1993), 82.3% (1994$\sim$2000). Conclusion: This study shows the fact that the incidence of breast cancer is increasing and the minimal age is getting younger and the maximal age is getting older. The treatment for breast cancer is changing according to the period. also it will be developing.

Keywords

References

  1. Ministry of Health and Welfare, Republic of Korea. Annual report of cancer registry programme in the Republic of Korea (1998. 1. 1-1998. 12. 31). 2000.
  2. Jeon HK, Lee CH, Choi KH, Lee SD, Park YH. A clinical study and late results of breast cancer. 1995;48:2256-65.
  3. Lee CH, Choi KH, Lee SD, Seo JK, Park YH. A 13-year review of Breast cancer. J Korean Surg Soc 1984;26:563-74.
  4. Clinical Analysis of Breast Cancer Surgeries in Korea. J Korean Surg Soc 2001;60:470-6.
  5. Korean Breast Cancer Society. Korean breast cancer data of 1996. J Korean Surg Soc 1998;55:621-35.
  6. Korean Breast Cancer Society. Korean breast cancer data of 1997. J Korean Surg Soc 1999;31:1202-9.
  7. Korean Breast Cancer Society. Clinical characteristics of Korean breast cancer patients in 1998. J Korean Med Sci 2000;15:569-79. https://doi.org/10.3346/jkms.2000.15.5.569
  8. Ministry of Health and Welfare, Republic of Korea. Annual report of cancer registry programme in the Republic of Korea (1993. 1. 1-1998. 12. 31). 1995.
  9. Jensen EV, Suzuku T, Kawashim T, Stump WE, Jungblut PW, De Sombre ER. A Two-step mechanism for the interaction of estradiol with rat uterus. Proc Not Acad Sci (Wash) 1968; 59:632. https://doi.org/10.1073/pnas.59.2.632
  10. Osborne MP, Borgen PI. Role of mastectomy in breast cancer. Surg Clin N Am 1990;70:1023-46. https://doi.org/10.1016/S0039-6109(16)45228-X
  11. Halsted WS. The results of operations for the cure of cancer of the breast performed at the Johns Hopkins Hospital from June, 1889 to January 1894. Johns Hopkins Hosp Bull 4 1894;297-350.
  12. Maguire GP, Lee GP, Bevington OJ, Kuchemann CS, Crabree RJ, Cornell CE. Psychiatric problems in the fIrst year after mastectomy. Br Med J 1978;15:963-5.
  13. Noh DY, Kim JS, Youn YK, Oh SK, Choe KJ. Changes in the clinical features of and the treatment ofr breast cancer. J Korean Surg Soc 1998;54:464-73.
  14. Go BJ, Kim MH, Chang SH, Paik IW. A clinical review of breast cancer. J Korean Surg Soc Suppl 1998;55:959-72.
  15. Ahn SH. Personal experience of 1,000 brest cancer surgeries in Korea. J Korean Cancer Assoc 2000;32:8-75.
  16. Jung SS, You YK, Park CH, Kim IC. Recent trends of breast cancer treatment in Korea. J Korean Surg Soc 1991;41:717-26.
  17. Noh DY, Cha DH, Jo JW, Song YJ, Kwon OJ, Hong JK, et al. A clinical study of breast cancer. J Korean Cancer Assoc 1991;23:410-7.
  18. Son BH, Yoon HS, Kwak HS, Lee PC, Ko BK, Kim JS, et al. Clinical analysis of breast cancer surgeries in Korea. J Korean Surg Soc 2001;60:70-76.
  19. Kim JS, Noh DY, Yoon YK, Oh SK, Choe KJ. Analysis of postoperative survival and prognostic factors in breast cancer. J Korean Surg Soc 1998;54:640-8.
  20. Park IS, Koo JY, Lee HD, Jung WH. A clinical study of 500 cases of breast cancer. 1997;29:1061-8.
  21. Jung NY, Cho BS, Kang YJ. A clinical study of breast cancer. 1998;55:779-86.
  22. Kropp S, Becher H, Nieters A, Chang-Claude J. Low-to-Moderate Alcohol Consumption and Breast Cancer Risk by Age 50 Years among Women in Germany. Am J Epidemiol 2001;154:624-34. https://doi.org/10.1093/aje/154.7.624
  23. Shrubsole MJ, Jin F, Dai Q, Shu XO, Potter JD, Hebert JR, et al. Dietery folate intake and breast cancer risk: results from the shanghai breast cancer study. Cancer Res 2001;61:7146-41.
  24. Herrinton LJ, Husson G. Relation of childhood height and later risk of breast cancer. Am J Epidemiol 2001;154:618-23. https://doi.org/10.1093/aje/154.7.618
  25. Rises LAG, Kosary CL, Hankey BF, Miller BA, Harra A, Edwards BK. SEER Cancer Statistics Review, 1973-1996.
  26. Wojcik BE, Spinks MK, Optenberg SA. Breast carcinoma survival analysis of African American and White Women in an equal-access health care system. Am Cancer Soc 1998;82:1310-8.
  27. Bradburn MJ, Altman DG, Smith P, Fentiman IS, Rubens RD. Time trends in breast cancer survival: experience in a single centre, 1975-89. Br J Cancer 1998:77:1944-9.
  28. Fredriksson I, LiLjegren G, Arnesson LG, Emdin SO, Palm-Sjovall M, Fornander T, et al. Time trends in the results of breast conservation in 4694 women. Eur J Cancer 2001;37:1537-44. https://doi.org/10.1016/S0959-8049(01)00168-X
  29. Laffer U, Hardr F, Almendral AC, Dieterich H, Hohl MK, Dupont Lampert V, et al. Breast preserving therapy of breast carcinoma: analysis of over 1,300 patients treasted in the Basel regon. Zentralbl Chir 1997;122:79-85.
  30. Brenner H, Hakulinen T. Long-term cancer patient survival achieved by the 20th century: most up-to-date estimates from the nationwide Finnish cancer registry. Br J Cancer 2001;85:367-71. https://doi.org/10.1054/bjoc.2001.1905