open access

Vol 70, No 6 (2020)
Research paper (original)
Published online: 2020-12-04
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Breast-conserving surgeries in HER-positive breast cancer patients are performed too rarely in Poland

Joanna Kufel-Grabowska12, Barbara Radecka34, Joanna Streb5, Agnieszka Jagiełło-Gruszfeld6, Joanna Hudała-Klecha4, Ewa Szombara6, Renata Sienkiewicz6, Bogumiła Czartoryska-Arłukowicz7, Piotr Witasik8, Katarzyna Sokołowska9, Wojciech Wysocki101112
·
Nowotwory. Journal of Oncology 2020;70(6):225-229.
Affiliations
  1. Department and Chair of Electroradiology, Poznan University of Medical Sciences, Poznan, Poland
  2. Chemotherapy Department, Greater Poland Cancer Centre, Poznan, Poland
  3. Department of Oncology, Institute of Medical Sciences, University of Opole, Poland
  4. Department of Clinical Oncology, Tadeusz Koszarowski Cancer Center in Opole, Opole, Poland
  5. Oncology Clinical Department, Krakow University Hospital , Krakow, Poland
  6. Breast Cancer and Reconstruction Surgery Clinic, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland
  7. Clinical Oncology Department with Outpatient Chemotherapy Sub-department of the Maria Skłodowska-Curie Bialystok Oncology Centre, Bialystok, Poland
  8. Oncology Department with Haematology Sub-department, Dr Roman Ostrzycki Voivodeship Hospital in Konin, Poland
  9. Roche Polska Sp. z o. o.
  10. General, Oncological and Vascular Surgery Clinic, 5th Military Hospital with a Polyclinic, Krakow, Poland
  11. Chair of Surgery, Faculty of Medicine and Health Sciences, Andrzej Frycz Modrzewski Krakow University , Krakow, Poland
  12. Scientific Editors, Maria Sklodowska-Curie National Research Institute of Oncology, Warsaw, Poland

open access

Vol 70, No 6 (2020)
Original article
Published online: 2020-12-04

Abstract

Breast cancer is the most common cancer among women in Poland and worldwide; after lung cancer it is the second highest cause of death among females with malignancies. HER2 positive breast cancer occurs in ca.15–20% of all cases. More often than other subtypes, it affects younger patients and more often spreads metastasises to internal organs.

The new drugs against the HER2 receptor significantly improve patients’ prognoses, regardless of the initial stage. The authors of the study involved 1503 patients with HER2 positive breast cancer from all stages (I–IV); 482 patients received preoperative systemic therapy (chemotherapy or hormonal therapy), 385 trastuzumab. Among the 1219 females qualified to surgery, 734 (60%) underwent a mastectomy, 485 (40%) had breast conserving therapy with adjuvant radiotherapy, some of them had preoperative systemic treatment.

Abstract

Breast cancer is the most common cancer among women in Poland and worldwide; after lung cancer it is the second highest cause of death among females with malignancies. HER2 positive breast cancer occurs in ca.15–20% of all cases. More often than other subtypes, it affects younger patients and more often spreads metastasises to internal organs.

The new drugs against the HER2 receptor significantly improve patients’ prognoses, regardless of the initial stage. The authors of the study involved 1503 patients with HER2 positive breast cancer from all stages (I–IV); 482 patients received preoperative systemic therapy (chemotherapy or hormonal therapy), 385 trastuzumab. Among the 1219 females qualified to surgery, 734 (60%) underwent a mastectomy, 485 (40%) had breast conserving therapy with adjuvant radiotherapy, some of them had preoperative systemic treatment.

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Keywords

breast cancer; HER2 positive breast cancer; surgery; mastectomy; breast conserving therapy

About this article
Title

Breast-conserving surgeries in HER-positive breast cancer patients are performed too rarely in Poland

Journal

Nowotwory. Journal of Oncology

Issue

Vol 70, No 6 (2020)

Article type

Research paper (original)

Pages

225-229

Published online

2020-12-04

Page views

647

Article views/downloads

615

DOI

10.5603/NJO.2020.0047

Bibliographic record

Nowotwory. Journal of Oncology 2020;70(6):225-229.

Keywords

breast cancer
HER2 positive breast cancer
surgery
mastectomy
breast conserving therapy

Authors

Joanna Kufel-Grabowska
Barbara Radecka
Joanna Streb
Agnieszka Jagiełło-Gruszfeld
Joanna Hudała-Klecha
Ewa Szombara
Renata Sienkiewicz
Bogumiła Czartoryska-Arłukowicz
Piotr Witasik
Katarzyna Sokołowska
Wojciech Wysocki

References (10)
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  3. Gianni L, Pienkowski T, Im YH, et al. 5-year analysis of neoadjuvant pertuzumab and trastuzumab in patients with locally advanced, inflammatory, or early-stage HER2-positive breast cancer (NeoSphere): a multicentre, open-label, phase 2 randomised trial. Lancet Oncol. 2016; 17(6): 791–800.
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  5. Tan MP. Is there an Ideal Breast Conservation Rate for the Treatment of Breast Cancer? Ann Surg Oncol. 2016; 23(9): 2825–2831.
  6. Cardoso F, Kyriakides S, Ohno S, et al. ESMO Guidelines Committee. Early breast cancer: ESMO Clinical Practice Guidelines for diagnosis, treatment and follow-up. Ann Oncol. 2019; 30(10): 1674.
  7. Salindera S, Ogilvy M, Spillane A. What are the appropriate thresholds for High Quality Performance Indicators for breast surgery in Australia and New Zealand? Breast. 2020; 51: 94–101.
  8. Herman K, Śliwczyński A, Wysocki W. Wyniki, metody i koszty leczenia raka piersi w Polsce (w latach 2005–2007). Nowotwory. Journal of Oncology. 2014; 64(1): 33–39.
  9. Valachis A, Mauri D, Polyzos NP, et al. Trastuzumab combined to neoadjuvant chemotherapy in patients with HER2-positive breast cancer: a systematic review and meta-analysis. Breast. 2011; 20(6): 485–490.
  10. Mamtani A, Morrow M. Why Are There So Many Mastectomies in the United States? Annu Rev Med. 2017; 68: 229–241.

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