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Clinicopathological characteristics of breast cancer and trends in the management of breast cancer patients in Japan: Based on the Breast Cancer Registry of the Japanese Breast Cancer Society between 2004 and 2011
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  • 作者:Junichi Kurebayashi ; Yasuo Miyoshi ; Takashi Ishikawa ; Shigehira Saji…
  • 关键词:Clinicopathological characteristics ; Trends in the management of breast cancer patients ; Japanese Breast Cancer Society ; Registry ; Japan
  • 刊名:Breast Cancer
  • 出版年:2015
  • 出版时间:May 2015
  • 年:2015
  • 卷:22
  • 期:3
  • 页码:235-244
  • 全文大小:642 KB
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  • 作者单位:Junichi Kurebayashi (1) (2)
    Yasuo Miyoshi (3)
    Takashi Ishikawa (4)
    Shigehira Saji (5)
    Tomoharu Sugie (6)
    Takashi Suzuki (7)
    Shunji Takahashi (8)
    Miwako Nozaki (9)
    Hiroko Yamashita (10)
    Yutaka Tokuda (11) (12)
    Seigo Nakamura (13) (14)

    1. Department of Breast and Thyroid Surgery, Kawasaki Medical School, 577 Matsushima, Kurashiki, Okayama, 701-0192, Japan
    2. Committee of Academic Affairs, The Japanese Breast Cancer Society, Tokyo, Japan
    3. Division of Breast and Endocrine, Department of Surgery, Hyogo College of Medicine, Nishinomiya, Japan
    4. Department of Breast Oncology, Tokyo Medical University, Tokyo, Japan
    5. Department of Medical Oncology, Fukushima Medical University, Fukushima, Japan
    6. Department of Surgery, Kansai Medical University, Hirakata, Japan
    7. Department of Pathology and Histotechnology, Tohoku University Graduate School of Medicine, Sendai, Japan
    8. Department of Medical Oncology, The Cancer Institute Hospital of the Japanese Foundation for Cancer Research, Tokyo, Japan
    9. Department of Radiology, Dokkyo Medical University Koshigaya Hospital, Saitama, Japan
    10. Department of Breast Surgery, Hokkaido University Hospital, Sapporo, Japan
    11. Department of Breast and Endocrine Surgery, Tokai University School of Medicine, Isehara, Japan
    12. Committee of Breast Cancer Registration, The Japanese Breast Cancer Society, Tokyo, Japan
    13. Division of Breast Surgical Oncology, Department of Surgery, Showa University, Tokyo, Japan
    14. Board of Directors, The Japanese Breast Cancer Society, Tokyo, Japan
  • 刊物主题:Surgical Oncology; Oncology; Surgery; Cancer Research;
  • 出版者:Springer Japan
  • ISSN:1880-4233
文摘
Purposes We conducted a study to analyze the clinicopathological characteristics of breast cancer in Japan registered to the Japanese Breast Cancer Registry of the Japanese Breast Cancer Society (JBCS). Trends in the management of breast cancer patients in Japan were also analyzed. Patients and methods More than 250,000 breast cancer patients were registered to the JBCS registry between 2004 and 2011. Demographic and clinicopathological factors in newly diagnosed primary breast cancer patients were registered to the JBCS through the Web-based system from affiliated institutes nationwide. Results Two distinct peaks were observed, in patients in their late 40s and early 60s, in the population-adjusted age distribution of breast cancer patients. An increased rate of screen-detected breast cancer may contribute to an earlier detection of breast cancer and increased rate of non-invasive ductal carcinoma. The positive rate of either ER or PgR appears to have increased in recent years. The annual rates of patients treated with breast-conserving surgery increased until 2006, but these increases stopped in 2007 and thereafter plateaued at approximately 60?%. The annual rates of patients treated with sentinel lymph node dissection alone have steadily increased. The annual rates of patients treated with preoperative trastuzumab plus chemotherapy have also increased, as well as those treated with postoperative aromatase inhibitors. The annual rates of patients treated with postoperative anthracycline-containing regimens have decreased, whereas those treated with postoperative taxane-containing regimens have increased. The postoperative use of trastuzumab has markedly increased since 2007. Conclusion Although this study was based on the registry database, several unique clinicopathological characteristics of breast cancer in Japan have been unveiled. Our results suggest that recent trends in the management of breast cancer patients in Japan were strongly followed by clinical evidence that originated from a number of clinical trials worldwide.

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