Breast-conserving surgery<i>versus</i>mastectomy in young women with breast cancer in Asian settings

Sinnadurai, Siamala; Kwong, Ava; Hartman, Mikael; Tan, Ern Yu; Dahlui, Maznah; See, Mee-Hoong; Yip, Cheng Har; Taib, Nur Aishah Mohd; Bhoo‐Pathy, Nirmala

doi:10.1002/bjs5.50111

Cited by 64 publications

(46 citation statements)

References 24 publications

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“…Conservative breast surgery is associated with increased 10-year survival compared to unilateral mastectomy and with no significant survival difference as far as the bilateral mastectomy is concerned [80]. The same result was published in the Asian setting by authors Sinnaduarai et al [84]. Breast-conserving surgery followed by radiotherapy showed also better results in metastasis-free survival compared to mastectomy procedures [85].…”

Section: Therapymentioning

confidence: 88%

Breast Cancer in Young Women: Status Quo and Advanced Disease Management by a Predictive, Preventive, and Personalized Approach

Kúdela

Samec

Kubatka

et al. 2019

Cancers

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Why does healthcare of breast cancer (BC) patients, especially in a young population, matter and why are innovative strategies by predictive, preventive, and personalized medicine (PPPM) strongly recommended to replace current reactive medical approach in BC management? Permanent increase in annual numbers of new BC cases with particularly quick growth of premenopausal BC patients, an absence of clearly described risk factors for those patients, as well as established screening tools and programs represent important reasons to focus on BC in young women. Moreover, "young" BC cases are frequently "asymptomatic", difficult to diagnose, and to treat effectively on time. The objective of this article is to update the knowledge on BC in young females, its unique molecular signature, newest concepts in diagnostics and therapy, and to highlight the concepts of predictive, preventive, and personalized medicine with a well-acknowledged potential to advance the overall disease management.

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Section: Therapymentioning

confidence: 88%

Breast Cancer in Young Women: Status Quo and Advanced Disease Management by a Predictive, Preventive, and Personalized Approach

Kúdela

Samec

Kubatka

et al. 2019

Cancers

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“…BCS has been increasingly integrated into breast cancer management [27].It is the standard and safe therapeutic procedure for early stage of the disease. BCS involves lumpectomy or quadrantectomy with/without axillary lymph node dissection.…”

Section: Discussionmentioning

confidence: 99%

WITHDRAWN: Assessment of Suspected Breast Lesions in Early Stage Triple Negative Breast Cancer During Follow-up After Breast Conserving Surgery Using Multiparmetric MRI

Sad¹,

Dabees²,

Mohamed³

et al. 2020

Preprint

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Background: The local recurrence rate in triple negative breast cancer (TNBC) can be as high as 12%.The standard treatment for early-stage TNBC is breast conserving surgery (BCS), followed by postoperative radiotherapy with or without chemotherapy. However, detection of the local recurrence of the disease after radiotherapy is a major issue.Objective: The aim of this study was to investigate the role of dynamic and functional magnetic resonance imaging (MRI) during follow-up after BCS and radiotherapy with/without chemotherapy to differentiate between loco regional recurrence and postoperative fibrosis.Patients and methods: This prospective study was conducted at Oncology, Radiology, and Pathology Departments, Tanta University. It involved 50 patients with early-stage TNBC who were treated with BCS, followed by radiotherapy with/without chemotherapy. The suspected lesions were evaluated during the follow-up period by sonomammography. All patients were subjected to MRI, including conventional sequences, diffusion-weighted imaging (DWI), and dynamic post-contrast study. Results: Ten cases were confirmed as recurrent malignant lesions. After contrast administration, they all exhibited irregular T1 hypodense lesions of variable morphology with diffusion restriction and positive enhancement. Eight cases displayed a type III curve, while two showed a type II curve. Histopathological assessment was consistent with the MRI findings in all eight cases. The combination of the data produced by DWI-MRI and dynamic contrast enhanced (DCE)-MRI resulted in 100%sensitivity, 92.5% specificity, 90.9% positive predictive value, 100% negative predictive value, and 98% accuracy. Conclusion: Combination of DWI-MRI and DCE-MRI could have high diagnostic value for evaluating postoperative changes in patients with TNBC after BCS, followed by radiotherapy with/without chemotherapy.Trial Registrations: not trial to be registered

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“…Traditionally mastectomy rates among women with early breast cancer in Asia have been high, 20e24 however, and the rates of BCS (lumpectomy with adjuvant radiotherapy) low compared with Europe and the USA. 25,26 A recent study of retrospective data for women <50 years of age, from four centres in Malaysia, Singapore (n ¼ 2) and Hong Kong, 24 showed that patients treated with BCS had similar survival rates to those undergoing mastectomy, with 5-year survival rates of >92%. Asian patients should be made aware of this, and also the data from Western studies showing that patients with early breast cancer who opt for breast conserving approaches might have better survival than those who undergo mastectomy.…”

Section: Recommendation 6: Treatmentmentioning

confidence: 99%

Pan-Asian adapted ESMO Clinical Practice Guidelines for the management of patients with early breast cancer: a KSMO-ESMO initiative endorsed by CSCO, ISMPO, JSMO, MOS, SSO and TOS

Park

Senkus-Konefka

et al. 2020

Annals of Oncology

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In view of the planned new edition of the most recent version of the European Society for Medical Oncology (ESMO) Clinical Practice Guidelines for the diagnosis, treatment and follow-up of primary breast cancer published in 2015, it was decided at the ESMO Asia Meeting in November 2018, by both the ESMO and the Korean Society of Medical Oncology (KSMO), to convene a special face-to-face guidelines meeting in 2019 in Seoul. The aim was to adapt the latest ESMO 2019 guidelines to take into account the ethnic and geographical differences associated with the treatment of early breast cancer in Asian patients. These guidelines represent the consensus opinions reached by experts in the treatment of patients with early breast cancer representing the oncology societies of Korea (KSMO), China (CSCO), India (ISMPO) Japan (JSMO), Malaysia (MOS), Singapore (SSO) and Taiwan (TOS). The voting was based on scientific evidence, and was independent of both the current treatment practices, and the drug availability and reimbursement situations, in the individual participating Asian countries.

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Breast-conserving surgeryversusmastectomy in young women with breast cancer in Asian settings

Cited by 64 publications

References 24 publications

Breast Cancer in Young Women: Status Quo and Advanced Disease Management by a Predictive, Preventive, and Personalized Approach

Breast Cancer in Young Women: Status Quo and Advanced Disease Management by a Predictive, Preventive, and Personalized Approach

WITHDRAWN: Assessment of Suspected Breast Lesions in Early Stage Triple Negative Breast Cancer During Follow-up After Breast Conserving Surgery Using Multiparmetric MRI

Pan-Asian adapted ESMO Clinical Practice Guidelines for the management of patients with early breast cancer: a KSMO-ESMO initiative endorsed by CSCO, ISMPO, JSMO, MOS, SSO and TOS

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