Breast conservation or mastectomy: Treatment choice of women aged 70 years and older
British journal of surgeryPublished 1 July 1996Open access
A. Sandison, Darren M. Gold, Peter Wright, Peter A. Jones
Citations70
SJR quartileQ1
SJR score1.69
SNIP1.79
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
It is concluded that elderly women should be involved in deciding the treatment of their breast cancer.
Abstract
Fifty women aged 70 years and older with newly diagnosed carcinoma of the breast were prospectively studied after being offered a choice of four treatment options. Thirty-four of 38 patients who chose their own treatment had breast conservation; four opted for mastectomy. At 12-month follow-up only two women were unhappy with their choice of treatment. It is concluded that elderly women should be involved in deciding the treatment of their breast cancer.
Keywords
MedicineHealth Professions
CancerManagement and survival of female breast cancer: Results of a national survey by the American college of surgeons
669 Citations1980Takuma Nemoto, J Vána +4 more
In blacks, breast cancer was diagnosed in a relatively more advanced stage than in whites, and survival and cure rates were generally lower for blacks, and such lower rates seem to be associated with the relatively advanced stage of the disease.
PubMedProspective randomized trial of tamoxifen vs surgery in elderly patients with breast cancer.
171 Citations1994J C Gazet, H.T. Ford +5 more
Between 1982 and 1989, 200 patients aged 70 or over seen in one Breast Unit, who were considered to have a surgically resectable cancer of the breast were prospectively randomized to primary surgery or tamoxifen 20 mg per day, with results that indicated the disease-free interval did not differ between the two groups.
British journal of surgeryLong-term follow-up of elderly patients with locoregional breast cancer treated with tamoxifen only
123 Citations1991J M Horobin, P E Preece +3 more
Tamoxifen provides an alternative treatment for operable breast cancer in older women in the short term and may be particularly suitable for those with concurrent disease or who are unwilling to undergo surgery.
Journal of Surgical OncologyBreast carcinoma at the extremes of age: A comparison of patients younger than 35 years and older than 75 years
99 Citations1985Paul Peter Rosen, Martin Lesser +1 more
Life expectancy of elderly women with breast carcinoma was significantly reduced when compared with a “normal” age‐matched population and analysis of recurrence and survival showed no significant difference between the groups as a whole or when they were stratified by nodal status.
The American Journal of SurgeryBreast carcinoma in the elderly patient: An assessment of operative risk, morbidity and mortality
94 Citations1980Kenneth E. Hunt, Donald E. Fry +1 more
Of 711 patients with histologically proven carcinoma of the breast, 94 patients aged 65 years or older were treated primarily by operation and long-term survival was comparable to that in the general population with breast cancer despite a high percentage of noncancer death from intercurrent disease.
CancerSurvival following breast cancer surgery in the elderly
80 Citations1981H Herbsman, Joseph Feldman +3 more
There is little justification for avoiding conventional operative treatment in elderly patients with breast cancer solely on the basis of advanced age, and survival in the elderly was comparable to that of younger patients, irrespective of race, type of surgery, histology or tumor size.
Journal of the American Geriatrics SocietyBreast Irradiation in the Older Woman: A Toxicity Study
68 Citations1994Jennifer Wyckoff, Harvey Greenberg +3 more
Objective: To establish the tolerance of breast irradiation by women aged 65 and older with a history of radiation exposure to establish this position.
BMJMastectomy or conservation: the patient's choice.
62 Citations1988Michael Baum, Lesley Fallowfield +1 more
Evidence shows that overdiagnosis has not occurred in either the Health Insurance Plan study or the Swedish studies, and Dr Skrabanek has a valid point that incomplete accounts of the Swedish study have been published internationally.
BMJMastectomy or conservation: the patient's choice.
56 Citations1988Richard Guy Wilson, A. Hart +1 more
Patients with breast cancer are capable of choosing treatment and should play a part in deciding which treatment to have, and they do not automatically choose to retain the breast.
British journal of surgeryIndications for primary tamoxifen therapy in elderly women with breast cancer
49 Citations1992DJ Gaskell, R. A. Hawkins +4 more
Conventional assessments of response at 3 and 6 months are unsatisfactory for judging the long‐term benefit to the patient and ER status is the best predictor of response and outcome.
BMJTreatment of elderly patients with breast cancer.
31 Citations1992J. Michael Dixon
The purpose of storing knowledge about contagious disease affecting a convicted person or one suspected of having committed a crime is limited to the objectives outlined above, and there can be little antipathy to the policy on grounds of principle.
PubMedA prospective study of patient choice in treatment for primary breast cancer.
20 Citations1991Trish Cotton, A P Locker +3 more
In those women who were offered a choice of treatment there was a significant tendency for younger patients to choose breast conserving treatment.
