Breast Surgery Outcomes in various hospitals in Singapore
Effect of Breast Conservation Therapy vs Mastectomy on Disease-Specific Survival for Early-Stage Breast Cancer
Published on: January 15, 2014
Author: Agarwal et al
Centre: Department of Surgery, University of Michigan
Published data on Breast Conservation Rates for Breast Cancer in Singapore
|Chuwa||National Cancer Centre Singapore (2002-2003)||767(total)||Symptomatic
|Wang||Changi General Hospital(2002-2008)||761||Symptomatic
|Chang||NUH (1990-2007)||2449||Stage 0-IV||29.2%|
|Woon||TTSH (2000-2002)||389||Stage I & II||39.1%|
|Sim||National Cancer Centre Singapore/Singapore General Hospital (2001-2010)||5130||All||29.2%|
1. Chuwa, EW, Yeo AW, Koong HN et al. Early detection of breast cancer through population-based mammographic screening in Asian women: a comparison study between screen detected and symptomatic breast cancer. Breast J 2009:15:133-139
2. Wang WV, Tan SM, Chow WL. The impact of mammographic breast cancer screening in Singapore: a comparison between screen-detected and symptomatic women. Asian Pacific J Cancer Prev 2011;12:2735-2740.
3. Chang GH, Chan CW, Hartman M. A commentary on delayed presentation of breast cancer in Singapore. Asian Pacific J Cancer Prev 2011;12:1635-1639.
4. Woon YY, Chan MYP. Breast conservation surgery-the surgeon factor. The Breast 2005;14:131-135.
5. Sim Y, Tan VK, Ho GH et al. Contralateral prophylactic mastectomy in an Asian population: a single institution review. Breast 2014;23:56-62.
Comparison of Published data on Sentinel lymph node procedures for Breast Cancer in Southeast Asia
|Author||Centre||SLN Identification||SLN false negative||Comments|
|Lyman G, et al||American Society of Clinical Oncology||Greater than 85%||Less than 5%||Guideline rates should be met before abandoning axillary dissection as standard of care|
|Yong WS et al||Singapore General Hospital||86%||16.7%||False negative rate too high|
|Ang CH, et al||Tan Tock Seng Hospital, Singapore||91.5%||13-34%||Axillary dissection abandoned before achieving guideline requirements for false negative rates|
|Namwongprom S, et al||Chiang Mai University||91.4%||30.8%||Self-reported high false negative rates|
1. Lyman G, Giuliano AE, Somerfield MR, et al. American Society of Clinical Oncology guideline recommendations for Sentinel Lymph Node Biopsy in Early-Stage Breast Cancer. J Clin Oncol 2005;23(30):7703-7720.
2. Yong WS, Wong CY, Lee JSY, Soo KC, Tan PH, Goh ASW. Single institution’s initial experience with sentinel node biopsy in breast cancer patients. ANZ J. Surg 2003;73:416-421.
3. Malycha P. Commentary on reference (2). Sentinel lymph node biopsy. ANZ J. Surg 2003;773:370-371.
4. Ang CH, Tan MY, Teo C, Seah DW, Chen JC, Chan MYP, Tan EY. Blue dye is sufficient for sentinel lymph node biopsy in breast cancer. Br J Surg 2014; doi: 10.1002/bjs.9390
5. Namwongprom S, et al. Breast lymphoscintigraphy for sentinel lymph node identification in breast cancer with clinically-negative axillary nodes. Singapore Med J 2005;46(12):688-692.
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