J Breast Cancer.  2013 Mar;16(1):77-83.

Clinical and Pathologic Features of Multifocal and Multicentric Breast Cancer in Chinese Women: A Retrospective Cohort Study

Affiliations
  • 1Department of General Surgery, Xiangya Second Hospital, Central South University, Changsha, China. cj19851011@163.com
  • 2Department Breast-Thyroid Surgery, Xiangya Second Hospital, Central South University, Changsha, China.
  • 3Department of Cancer Epidemiology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
  • 4Department of Epidemiology, West China School of Public Health, Sichuan University, Chengdu, China.
  • 5Department of Breast Surgery, Zhejiang Cancer Hospital, Hangzhou, China.
  • 6Department of Pathology, Cancer Institute & Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.
  • 7State Key Laboratory of Molecular Oncology, Department of Etiology and Carcinogenesis, Cancer Institute & Hospital, Chinese Academy of Medical Sciences & Peking Union Medical College, Beijing, China.

Abstract

PURPOSE
This study aims to analyze the clinical-pathological characteristics of multifocal and multicentric breast cancer (MMBC) in Chinese women.
METHODS
Sixty-seven cases with MMBC were randomly collected and reviewed at seven hospitals in representative districts of China during 1999 to 2008.
RESULTS
The incidence of MMBC in breast cancer in China was 1.75%. Compared to those with unifocal breast cancer, women with MMBC were more likely to have larger tumor size, lymph node metastasis (59.70% vs. 45.62%) and stage III to IV (46.26% vs. 21.10%). The peak age at onset of MMBC was 40 to 49 years old and has been gradually increasing during 1999 to 2008. Most of the MMBC women were treated with surgery and adjuvant therapy.
CONCLUSION
In China, the incidence of MMBC in breast cancer is significantly lower than that in Western countries. Compared to unifocal breast cancer, MMBC is biologically more aggressive. Most MMBC women underwent mastectomy, instead of breast conservation surgery.

Keyword

Breast; Carcinoma; Clinical pathology

MeSH Terms

Asian Continental Ancestry Group
Breast
Breast Neoplasms
China
Cohort Studies
Female
Humans
Incidence
Lymph Nodes
Mastectomy
Neoplasm Metastasis
Pathology, Clinical
Retrospective Studies

Figure

  • Figure 1 The age proportion of multifocal and multicentric breast cancer in China during 1999 to 2008.


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