J Breast Cancer.  2015 Jun;18(2):103-111. 10.4048/jbc.2015.18.2.103.

The Basic Facts of Korean Breast Cancer in 2012: Results from a Nationwide Survey and Breast Cancer Registry Database

Affiliations
  • 1Department of Surgery, Soonchunhyang University Bucheon Hospital, Soonchunhyang University College of Medicine, Bucheon, Korea.
  • 2Department of Surgery, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, Seoul, Korea.
  • 3Department of Surgery, Cheil General Hospital and Women's Healthcare Center, Dankook University College of Medicine, Seoul, Korea. hmh1916@gmail.com
  • 4The Korea Central Cancer Registry, Division of Cancer Registration and Surveillance, National Cancer Center, Goyang, Korea.
  • 5Department of Surgery, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea.
  • 6Department of Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.
  • 7Department of Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
  • 8Department of Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan, Korea.

Abstract

The Korean Breast Cancer Society has constructed a nationwide breast cancer database through utilization of an online registration program. We have reported the basic facts about breast cancer in Korea in 2012, and analyzed the changing patterns in the clinical characteristics and management of breast cancer in Korea over the last 10 years. Data on patients newly diagnosed with breast cancer were collected for the year 2012 from 97 hospitals and clinics nationwide using a questionnaire survey, and from the online registry database. A total of 17,792 patients were newly diagnosed with breast cancer in 2012. The crude incidence rate of female breast cancer, including invasive cancer and in situ cancer, was 70.7 cases per 100,000 women. The median age at diagnosis was 51 years, and the proportion of postmenopausal women was higher than that of premenopausal women among those diagnosed with breast cancer. The proportion of cases of early breast cancer increased continuously, and breast-conserving surgery was performed in more cases than total mastectomy in that same year. The total number of breast reconstruction surgeries increased approximately 3-fold over last 10 years. The 5-year overall survival rate for all stages of breast cancer patients was extremely high. The clinical characteristics of breast cancer have changed in ways that resulted in high overall survival over the past 10 years in Korea, and the surgical management of the disease has changed accordingly. Analysis of nationwide registry data will contribute to a better understanding of the characteristics of breast cancer in Korea.

Keyword

Breast neoplasms; Korea; Online system; Registries

MeSH Terms

Breast Neoplasms*
Diagnosis
Female
Humans
Incidence
Korea
Mammaplasty
Mastectomy, Segmental
Mastectomy, Simple
Online Systems
Registries
Survival Rate
Surveys and Questionnaires

Figure

  • Figure 1 Number of newly diagnosed breast cancer patients (Korean Breast Cancer Society survey data).

  • Figure 2 Annual crude incidence of Korean female breast cancer (Korean Breast Cancer Society survey data).

  • Figure 3 Trends in the median age at breast cancer diagnosis in Korea and the ratio of postmenopausal to premenopausal women at diagnosis.

  • Figure 4 Changing trends in the hormone receptor-positive breast cancer.

  • Figure 5 Changes in breast cancer incidence according to stage.

  • Figure 6 Changes in the surgical management of breast cancer. BCS=breast-conserving surgery.

  • Figure 7 Changing trends in breast reconstruction in patients with breast cancer surgery.


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