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  • Title: Changes in the treatment of early breast cancer at the Mayo Clinic: 1988-1992.
    Author: Grant CS.
    Journal: Eur J Surg; 1996 Feb; 162(2):93-6. PubMed ID: 8639736.
    Abstract:
    OBJECTIVE: To investigate the temporal patterns in the surgical management of early (stages 0-2) breast cancer at Mayo Clinic between 1988 and 1992. DESIGN: Retrospective study. SETTING: Academic medical center, United States. SUBJECTS: 2551 patients with stage 0-2 primary breast cancer who underwent surgical treatment. MAIN OUTCOME MEASURE: Change in the number of patients who underwent breast conserving surgery during the five year period. RESULTS: The overall number of patients who underwent breast conserving surgery ranged from 73/498 (15%) in 1988 to 187/547 (34%) in 1992. When the patients who were ineligible to undergo breast conservation were subtracted from those who underwent mastectomy (leaving only those who chose mastectomy), the proportion nearly reached 50% in 1991, and breast conservation procedures exceeded mastectomies in 1992. CONCLUSIONS: The majority of women primarily treated for early breast cancer during the five year period 1988-1992 undergo mastectomy. The reasons appear to be multifactorial, but a significant percentage are not eligible for breast conservation according to our criteria.
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