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کاربرد نوع شرط:
- جایگاه : پژوهشی
- مجله: Asian Pacific Journal of Cancer Prevention
- نوع مقاله: Journal Article
- کلمات کلیدی: Prognosis,Breast Neoplasm,Early Detection of Cancer,mammography,Health care Disparities
- چکیده:
- چکیده انگلیسی: Objective: Interval breast cancer (IC) is a limitation of breast cancer screening. We investigated data from a
large scaled breast cancer dataset of patients with breast cancer who underwent breast cancer screening in order to
recapitulate the overall survival (OS) of patients with ICs compared to those with non-ICs. Methods: A total of 27,141
patients in the Korean breast cancer registry with breast cancer who had ever participated in biannual national breast
cancer screening programs between 2009 and 2013 were enrolled. We compared the social, pregnancy-associated, and
pathologic characteristics between the IC and non-IC groups and identified the significant prognostic factors for OS.
Results: The proportion of ICs was 1.3% (370/27,141) in this study population. ICs were correlated with age 45-55
years at diagnosis, higher levels of education, early menopause (provinces (Kangwon, Kyungnam, Jeju, and Dae-jeon), and family history of breast cancer. Low-to-intermediate nuclear
grade, early stage (stage 0-I), and low Ki-67 level were also correlated with IC proportion. Non-ICs were associated
with an increased risk of five-year mortality (hazard ratio [HR] 7.4; 95% confidence interval [CI]:1.85-29.66; p = 0.005)
compared to ICs. Lymph node metastasis, residence (Kyung-nam province), low education status, high histologic grade,
and asymptomatic cancers increased the HR of five-year OS. Conclusion: ICs occurred unequally in specific province
and relatively high-educated women in Korea. They were also diagnosed with early-stage breast cancer with a favorable
recurrence risk, and their outcome was better than those of patients with other breast cancers in breast cancer screening.- انتشار مقاله: 13-06-1397
- نویسندگان: Jung Sun Lee,Hyun-Ah Kim,Se-Heon Cho,Han-Byoel Lee,Min Ho Park,Joon Jeong,Heung Kyu Park,Minkyung Oh,Onvox Yi
- مشاهده