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Epidemiology of ductal carcinoma in situ in Western Australia: implications for surgical margins and management

Background In 2010, the Australian Institute of Health and Welfare published a report examining the characteristics of Australian women diagnosed with ductal carcinoma in situ (DCIS). This study identified the characteristics of women who were diagnosed with DCIS in Western Australia (WA) 1996–2005,...

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Bibliographic Details
Published in:Breast cancer (Tokyo, Japan) Japan), 2015-11, Vol.22 (6), p.641-647
Main Authors: Butler-Henderson, Kerryn, Lee, Andy H., Lenzo, Nat P., Price, Roger I.
Format: Article
Language:English
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Summary:Background In 2010, the Australian Institute of Health and Welfare published a report examining the characteristics of Australian women diagnosed with ductal carcinoma in situ (DCIS). This study identified the characteristics of women who were diagnosed with DCIS in Western Australia (WA) 1996–2005, and built on a national study by determining the rate of second operation and breast cancer events (BCE) in WA. Methods A retrospective analysis of data from the WA Cancer Registry and the Hospital Morbidity Database was undertaken. The main outcome measures were histological characteristics, second operation rate, breast cancer events. Results A total of 1356 cases of DCIS were diagnosed in WA between 1996 and 2005, with a minimum 5-year follow-up. The age-standardised incidence rate in 2005 was 15.4 per 100,000 women. 72 % of patients received breast-conserving therapy for primary treatment, 18 % of patients requiring a second operation to obtain adequate margins and 35 % of patients received postoperative radiotherapy. 17.3 % of cases had a subsequent BCE, with the 5- and 10-year probabilities being 4.36 and 8.27 %, respectively. A BCE was significantly associated with age ( p  
ISSN:1340-6868
1880-4233
DOI:10.1007/s12282-014-0531-5