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[Bilateral breast carcinoma].

F Kasumi

    Nihon Geka Gakkai Zasshi
    |March 1, 1985
    PubMed
    Summary
    This summary is machine-generated.

    Bilateral breast carcinoma occurred in 3.56% of Japanese women. These cases presented with earlier onset, earlier stage, and better prognosis, with a high incidence in familial cases.

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    Area of Science:

    • Oncology
    • Epidemiology
    • Genetics

    Context:

    • A retrospective analysis of 4,777 female breast carcinoma cases operated between 1946 and 1980 at the Cancer Institute Hospital, Tokyo.
    • Focus on bilateral breast carcinoma incidence, classification, and clinical characteristics.

    Purpose:

    • To investigate the incidence, classification (primary vs. metastatic), and clinical-epidemiological features of bilateral breast carcinoma in Japanese women.
    • To compare bilateral cases with unilateral cases and examine familial predispositions.

    Summary:

    • 170 cases (3.56%) of bilateral breast carcinoma were identified.
    • 157 cases were classified as primary, with 48 simultaneous and 109 subsequent.
    • Bilateral cases showed earlier onset, earlier stage, and better prognosis than unilateral cases, with a notable familial disposition.

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    Impact:

    • Highlights a high bilaterality rate in Japanese women despite lower overall incidence compared to Americans.
    • Suggests genetic and familial factors play a significant role in bilateral breast carcinoma development.
    • Informs clinical management and genetic counseling for breast cancer patients, particularly those with a family history.