Optimal surgery for breast cancer elderly patients / 中国医学科学院学报

ABSTRACT

<p><b>OBJECTIVE</b>To evaluate the feasibility of optimal surgery for breast cancer in elderly patients.</p><p><b>METHODS</b>The clinical data of 481 patients aged 70 years and above who were treated in our hospital from 1995 to 2009 were retrospectively analyzed.</p><p><b>RESULTS</b>Based on their general conditions and clinical stages, 481 patients were divided into three groups to received different surgical procedures including modified radical mastectomy (MRM group, n=256), tumor extended resection (ER group, n=173), and simple mastectomy (SM group, n=52). The overall 5-and 10-year survival rates were 63.77%and 46.71%, respectively, and the 5-year (p=0.956) and 10-year (p=0.977) survival rates were not significantly among these three groups. However, patients in the ER group had significantly shorter hospital stay, smaller surgical wound, earlier recovery and less complications.</p><p><b>CONCLUSION</b>It is feasible for female breast cancer patients over 70 years old choose the optimal surgical procedures according to their general conditions and clinical stages.</p>