Erschienen in:
01.07.2012
United States Trends in the Surgical Treatment of Primary Breast Cancer
verfasst von:
Todd M. Tuttle, Natasha M. Rueth, Andrea Abbott, Beth A. Virnig
Erschienen in:
World Journal of Surgery
|
Ausgabe 7/2012
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Excerpt
Before the publication of National Surgical Adjuvant Breast Project Trial (NSABP) B-06, most breast cancer patients in the United States were treated with mastectomy [
1,
2]. After the publication of NSABP-B06 in 1985, the rates of breast-conserving surgery (BCS) increased, but only slightly. After the 1990 National Institutes of Health Consensus Statement concluded that BCS plus radiation therapy (RT) was “preferred” for early-stage breast cancer, BCS rates markedly increased throughout the 1990s and early 2000s [
2,
3]. However, during the past decade, several trends in the local treatment of breast cancer have been observed that are counter-intuitive to the findings from prospective randomized trials. …