ArticleAnnals of medicine and surgery (2012)2019
Trends of mastectomy and breast-conserving surgery and related factors in female breast cancer patients treated at King Abdulaziz University Hospital, Jeddah, Saudi Arabia, 2009-2017: A retrospective cohort study.
Article in Annals of medicine and surgery (2012), 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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15 citing papers in PubMed, 28 citations in OpenAlex.
- A comparative analysis of MRI findings versus final pathology in multicentric breast cancer patients at King Abdulaziz Medical City, Jeddah.Frontiers in surgery · 2026Article
- Effect of Coronavirus Disease 2019 Pandemic on Delivery of Breast Reconstructive Services and Outcomes.Plastic and reconstructive surgery. Global open · 2025Article
- Mutational spectrum and profile of breast and ovarian cancer patients in Saudi Arabia's western region: single center experience.Discover oncology · 2025Article
- Outcomes of the Saudi breast cancer early detection program: a nine-year analysis (2012-2020).Breast cancer research and treatment · 2025Article
- Analgesic efficacy and safety of erector spinae plane block versus serratus anterior plane block in breast surgery-a meta-analysis and systematic review of randomized controlled trials.Journal of anesthesia, analgesia and critical care · 2024Review
- The Present State and Prospective Trajectory of External Breast Prosthesis (EBP): A Global Overview.Cureus · 2024Review
- The epidemiological and clinicopathological features of breast cancer in Riyadh, Saudi Arabia.Saudi medical journal · 2024Article
- In situ breast cancer surgeries in Sweden: lumpectomy or mastectomy?-a cost-effectiveness analysis over a 30-Year period using Markov model.Cost effectiveness and resource allocation : C/E · 2023Article
- Clinical characteristics of breast cancer patients admitted to academic surgical wards in Tehran, Iran: an analytical cross-sectional study.BMC women's health · 2023Article
- Body image and hopelessness among early-stage breast cancer survivors after surgery in China: A cross-sectional study.Nursing open · 2021Article
- The Usefulness of Spectral Mammography in Surgical Planning of Breast Cancer Treatment-Analysis of 999 Patients with Primary Operable Breast Cancer.Current oncology (Toronto, Ont.) · 2021Article
- The Uptake and Factors Associated with Mastectomy among Chinese Women with Breast Cancer: A Retrospective Observational Study.Asian Pacific journal of cancer prevention : APJCP · 2021Observational
- Clinical characteristics and the associated risk factors of the development of bilateral breast cancers: A case-control study.Annals of medicine and surgery (2012) · 2020Article
- Kaiso Expression in Triple Negative Breast Cancer in a Tertiary Hospital in Ghana.Nigerian medical journal : journal of the Nigeria Medical AssociationArticle
- Factors Affecting Jordanian Women's Surgical Treatment Decisions for Early-Stage Breast Cancer.Asia-Pacific journal of oncology nursingArticle
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Authors and funding
6 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundBreast cancer is the most common cancer in women and accounts for 14.7% of cancer-related deaths among females worldwide. Its core management includes surgical removal of the tumor either by breast-conserving surgery (BCS) or mastectomy. Choosing between these two procedures may be influenced by factors that are not studied in our region. We aimed to determine the prevalence of BCS and mastectomy and the factors that may influence the choice of procedure.
methodsThis retrospective study was carried out by reviewing the records of female breast cancer patients who underwent BCS or mastectomy at between 2009 to June 2017, excluding those with metastasis or recurrence. Frequencies and multivariate tests were used for detecting correlations between procedures and demographic, clinicopathological, and radiological factors.
resultsOf 335 patients (mean age 52.75 ± 12.2 years), 62.4% had mastectomy and 37.6% had BCS. Modified radical mastectomy accounted for 70.8% of mastectomies. Multivariate analysis showed non-Saudi nationality (P = 0.002), multifocal (P = 0.0001) and multicentric tumors (P = 0.0001), large tumor size (P = 0.0001), tumor stages IIIA (P = 0.005) and IIIB (P = 0.014), positive HER2 (0.009), and triple-negative receptor status (P = 0.010) significantly correlated with mastectomy.
conclusionMastectomy has a much higher prevalence than BCS in our study mainly due to advanced tumor stage at the time of diagnosis. This emphasizes the urgent need for early detection of breast cancer to move towards BCS, with education and increasing awareness of breast cancer and the surgical options, especially that it is more common in a significantly younger population in our area.
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