Jm Kim, H. Choi, I. Kim, J. Ryu, Jh Yu, J. Lee, S. Kim, S. Nam, S. Lee
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引用次数: 0
Abstract
Background: There are many factors that might contribute to the delay of surgery in patients with breast cancer. Previous studies investigate the influence of delay of surgery, but they reported inconsistent results. The purpose of this study was to evaluate the impact of time of surgery on prognosis of breast cancer. Methods: We performed a retrospective review of the patients with breast cancer, who received surgery between 1992 and 2009, by using data from Korea Breast Cancer Society Registry. Kaplan-Meier survival analysis and Cox regression model were used to evaluate the impact of time to surgery in breast cancer and subgroup analyses were performed for each disease stage and molecular subtype. Result: A total 14727 patients were included for analysis. Delay of surgery more than 31 days was associated with worse survival for breast cancer [hazard ratio (HR) = 2.16; 95% confidence interval (CI), 1.936-2.408, p Conclusion: Surgical delay of more than 31 days were independent risk factors for worse outcome of breast cancer in each molecular subtype and breast cancer group except stage 0 and I. Although preoperative evaluation is required, surgical delay should be shortened to enhance survival of breast cancer, especially in patients with tumor size more than 2cm or presence of lymph node metastasis. Citation Format: Kim J-M, Choi HJ, Kim I, Ryu JM, Yu J, Lee JE, Kim SW, Nam SJ, Lee SK. The impact of time interval between diagnosis and surgery in each type and stage of breast cancer [abstract]. In: Proceedings of the 2018 San Antonio Breast Cancer Symposium; 2018 Dec 4-8; San Antonio, TX. Philadelphia (PA): AACR; Cancer Res 2019;79(4 Suppl):Abstract nr P2-08-29.
背景:有许多因素可能导致乳腺癌患者延迟手术。先前的研究调查了延迟手术的影响,但他们报告了不一致的结果。本研究的目的是评估手术时间对乳腺癌预后的影响。方法:我们使用韩国乳腺癌协会登记处的数据,对1992年至2009年接受手术的乳腺癌患者进行回顾性分析。采用Kaplan-Meier生存分析和Cox回归模型评估乳腺癌手术时间的影响,并对每个疾病分期和分子亚型进行亚组分析。结果:共纳入14727例患者进行分析。延迟手术超过31天与乳腺癌的生存差相关[风险比(HR) = 2.16;结论:手术延迟超过31天是除0期和i期外各分子亚型和乳腺癌组预后较差的独立危险因素,虽然术前需要评估,但应缩短手术延迟时间以提高乳腺癌的生存率,特别是肿瘤大小大于2cm或存在淋巴结转移的患者。引用本文:Kim J- m, Choi HJ, Kim I, Ryu JM, Yu J, Lee JE, Kim SW, Nam SJ, Lee SK.诊断与手术间隔时间对乳腺癌各类型和分期的影响[摘要]。2018年圣安东尼奥乳腺癌研讨会论文集;2018年12月4-8日;费城(PA): AACR;中国癌症杂志,2019;79(4增刊):P2-08-29。