Krishna B Clough1, Victor Acosta-Marín2,3, Claude Nos2, Séverine Alran4, Philippe Rouanet5, Jean-Rémi Garbay6, Sylvia Giard7, Jean-Luc Verhaeghe8, Gilles Houvenaeghel9, Bernard Flipo10, Jacques Dauplat11, Pierre Hervé Dorangeon12, Jean-Marc Classe13, Roman Rouzier14, Pascal Bonnier15. 1. The Paris Breast Center - L'Institut du Sein, Paris, France. krishna.clough@orange.fr. 2. The Paris Breast Center - L'Institut du Sein, Paris, France. 3. Centro Clínico de Estereotaxia-CECLINES, Caracas, Venezuela. 4. CLCC Institut Curie, Paris, France. 5. CRLCC Val d'Aurelle, Montpellier, France. 6. CLCC Gustave Roussy, Villejuif, France. 7. CRLCC Oscar Lambret, Lille, France. 8. CLCC Alexis Vautrin, Nancy, France. 9. CLCC Paoli-Calmettes, Marseille, France. 10. CLCC Antoine Lacassagne, Nice, France. 11. CLCC Jean Perrin, Clermont-Ferrand, France. 12. Polyclinique Courlancy, Reims, France. 13. CLCC René Gauducheau, Nantes, France. 14. Hôpital Tenon, Paris, France. 15. Hôpital Privé Beauregard, Marseille, France.
Abstract
BACKGROUND: The current retrospective study was intended to obtain up-to-date and comprehensive data on surgical practice for breast cancer throughout France, including neoadjuvant chemotherapy (NAC) and the more recent surgical techniques of oncoplastic surgery (OPS). METHODS: In June 2011, e-mail surveys were sent to 33 nationally renowned breast cancer surgeons from French public or private hospitals. The questionnaire focused on all the new cases of breast cancer treated in 2010. It included questions regarding surgical practices, with special emphases on NAC and OPS and other surgical characteristics. RESULTS: The overall response rate for the survey was 72.7 %. The total number of breast cancer cases from the survey was 13,762, which constitutes 26.2 % of the total incidence in 2010. Breast-conserving surgery (BCS) was performed for 71.0 % of the patients, and the results were similar throughout the types of practices. Of these patients, 13.9 % received OPS, either upfront or after NAC. Mastectomy was performed for 29.0 % of the patients, which is consistent with French official numbers. Among all patients, 16.3 % underwent surgery after NAC. CONCLUSION: To the authors' knowledge, there are no publications of national figures on NAC or OPS rates to date. They are convinced that this study offers real-life surgical care information on a large population and covers France's breast cancer surgical landscape. Mastectomy rates in France remain stable and consistent with those in other European countries. However, additional large-scale retrospective studies are required to confirm these figures and further explore NAC and OPS rates as well as surgical practice characteristics.
BACKGROUND: The current retrospective study was intended to obtain up-to-date and comprehensive data on surgical practice for breast cancer throughout France, including neoadjuvant chemotherapy (NAC) and the more recent surgical techniques of oncoplastic surgery (OPS). METHODS: In June 2011, e-mail surveys were sent to 33 nationally renowned breast cancer surgeons from French public or private hospitals. The questionnaire focused on all the new cases of breast cancer treated in 2010. It included questions regarding surgical practices, with special emphases on NAC and OPS and other surgical characteristics. RESULTS: The overall response rate for the survey was 72.7 %. The total number of breast cancer cases from the survey was 13,762, which constitutes 26.2 % of the total incidence in 2010. Breast-conserving surgery (BCS) was performed for 71.0 % of the patients, and the results were similar throughout the types of practices. Of these patients, 13.9 % received OPS, either upfront or after NAC. Mastectomy was performed for 29.0 % of the patients, which is consistent with French official numbers. Among all patients, 16.3 % underwent surgery after NAC. CONCLUSION: To the authors' knowledge, there are no publications of national figures on NAC or OPS rates to date. They are convinced that this study offers real-life surgical care information on a large population and covers France's breast cancer surgical landscape. Mastectomy rates in France remain stable and consistent with those in other European countries. However, additional large-scale retrospective studies are required to confirm these figures and further explore NAC and OPS rates as well as surgical practice characteristics.
Authors: Jennifer G Whisenant; Jason M Williams; Hakmook Kang; Lori R Arlinghaus; Richard G Abramson; Vandana G Abramson; Kareem Fakhoury; A Bapsi Chakravarthy; Thomas E Yankeelov Journal: Tomography Date: 2020-06
Authors: Alex Anh-Tu Nguyen; Vignesh A Arasu; Fredrik Strand; Wen Li; Natsuko Onishi; Jessica Gibbs; Ella F Jones; Bonnie N Joe; Laura J Esserman; David C Newitt; Nola M Hylton Journal: Tomography Date: 2020-06