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Breast cancer patients with bilateral mastectomy don't have better survival rates
Date:9/2/2014

st at CPIC, is the senior author.

"Given the recent attention around bilateral mastectomies, we wanted to know whether there are particular types of patients likely to receive a bilateral mastectomy," Gomez said. "And, secondly, are there relative differences in mortality among the three procedures? We were able to address these questions using data from the California Cancer Registry, which covers nearly all women diagnosed with breast cancer in the state. The registry is enhanced with information on factors that may influence a treatment decision, including their socioeconomic status, health insurance and where they received their care."

The researchers found that of the 189,734 women in the study, 55 percent received a lumpectomy with follow-up radiation, 38.8 received a unilateral mastectomy and 6.2 percent received a bilateral mastectomy. Overall, the proportion of women receiving unilateral mastectomies declined during the study period, while the proportion of women receiving bilateral mastectomies increased. Racial and ethnic minorities, as well as women of lower socioeconomic status, were more likely than others to receive a unilateral mastectomy. In contrast, women who received a bilateral mastectomy were more likely to be middle- or upper-class, younger than 50 or non-Hispanic whites, or some combination of these.

The difference in the long-term survival rates between women who underwent a bilateral mastectomy and women who received a lumpectomy plus radiation was not statistically significant.

The slightly lower survival rate among women who underwent a unilateral mastectomy could be due to the fact that these patients tended to be members of racial or ethnic minorities or have a lower socioeconomic status than other patient groups, or both, the researchers said. Gomez and Kurian speculate that these patients may have been more likely to have other health problems, such as diabetes, that could have affected or limited t
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Contact: Krista Conger
kristac@stanford.edu
650-725-5371
Stanford University Medical Center
Source:Eurekalert

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