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논문 기본 정보

자료유형
학술저널
저자정보
신영덕 (Department of Anesthesiology and Pain Medicine Chungbuk National University Hospital Chungbuk) 강길원 (Department of Health Informatics and Management Chungbuk National University College of Medicine) 장호연 (Department of Health Informatics and Management Chungbuk National University College of Medicine) 최영진 (Department of Surgery Chungbuk National University Hospital Chungbuk National University College of)
저널정보
한국유방암학회 Journal of Breast Cancer Journal of Breast Cancer Vol.24 No.1
발행연도
2021.1
수록면
49 - 62 (14page)

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Purpose: Ductal carcinoma in situ (DCIS) is common in South Korea. We evaluated the patterns of axillary surgery among patients with DCIS to highlight the need for compliance with the updated national guidelines. We also evaluated whether sentinel lymph node biopsy (SLNB) was performed in accordance with the national guidelines. Methods: The Korean Health Insurance Review and Assessment Service-National Inpatient Sample database was searched for patients with DCIS (2009–2015) to identify axillary surgery patterns by breast surgery type, year of diagnosis, age at diagnosis, and the location and volume of surgeries for DCIS at the hospital. The rates of SLNB and axillary dissection were compared using descriptive statistics and univariate analyses. Analyses were also conducted using the chi-squared test and multiple logistic regression analysis. Results: We identified 16,315 Korean women who underwent surgery for DCIS, including 11,292 cases of SLNB (69.2%) and 131 cases of axillary lymph node dissection (0.8%). Breast-conserving surgery (BCS) was performed in 10,323 patients (63.3%) with an SLNB rate of 56.0%, while total mastectomy (TM) was performed in 5,992 patients (36.7%), with an SLNB rate of 92.0%. During 2009–2015, the SLNB rate during TM increased from 88.23% to 92.80%. SLNB was influenced by hospital region and surgical volume, and hospitals performing low volumes of surgeries were significantly more likely to perform SLNB regardless of the surgery type (odds ratio, 1.372; 95% confidence interval, 1.265–1.488). Conclusion: Although the Korean guidelines recommend SLNB for all TM procedures and select BCS procedures for DCIS, relatively high rates of SLNB were performed for BCS, and there was inter-hospital variability in performing SLNB. Improved compliance with the guidelines by the surgeons is critical for Korean patients with DCIS.
#Breast neoplasms #Ductal carcinoma in situ #Guideline #Sentinel lymph node biopsy

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참고문헌 (30)

참고문헌 신청
Korean Breast Cancer Society / Breast cancer facts & figures - 2018 google schola Ernster VL / 2002 / Detection of ductal carcinoma in situ in women undergoing screening mammography / J Natl Cancer Inst 94:1546~1554 google schola Choi KS / 2018 / Effect of mammography screening on stage at breast cancer diagnosis : results from the Korea National Cancer Screening Program / Sci Rep 8:8882 google schola Francis AM / 2015 / Is sentinel lymph node dissection warranted for patients with a diagnosis of ductal carcinoma in situ? / Ann Surg Oncol 22:4270~4279 google schola Intra M / 2008 / Sentinel node biopsy is not a standard procedure in ductal carcinoma in situ of the breast : the experience of the European institute of oncology on 854 patients in 10 years / Ann Surg 247:315~319 google schola

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