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Related Experiment Videos

Changing trends in breast carcinoma.

P A Braithwaite, P M Bolton, D Shugg

    The Australian and New Zealand Journal of Surgery
    |June 1, 1980
    PubMed
    Summary

    Breast cancer treatment evolved, with fewer radical mastectomies and radiotherapy. Early-stage diagnoses increased, while later-stage diagnoses remained stable, indicating shifts in breast cancer care over two decades.

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    Area of Science:

    • Oncology
    • Medical History
    • Public Health

    Background:

    • Growing public discourse on breast cancer.
    • Dissatisfaction with radical surgical and radiotherapy treatments.
    • Need to assess treatment trends over time.

    Purpose of the Study:

    • To analyze changes in breast cancer presentation and treatment modalities.
    • To evaluate the impact of evolving medical practices on patient outcomes.
    • To examine treatment patterns between 1956 and 1976.

    Main Methods:

    • Retrospective analysis of 1,014 patient records from the Tasmanian Breast Survey.
    • Comparison of data across two distinct time epochs: 1956-1966 and 1967-1976.
    • Statistical analysis of changes in cancer stage, treatment utilization, and patient demographics.

    Main Results:

    • A 14% increase in Stage I breast cancer diagnoses.
    • A 9% decrease in Stage II breast cancer diagnoses (P=0.0075).
    • No significant change in Stages III and IV diagnoses.
    • Marked decrease in radical mastectomy and radiotherapy utilization (P=0.0000).
    • Mean patient age at presentation remained stable.

    Conclusions:

    • Significant shift towards earlier stage breast cancer detection.
    • Decline in the use of aggressive surgical and radiation therapies.
    • Treatment trends reflect evolving medical and public perspectives on breast cancer management.

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