TY - JOUR
T1 - Laterality of breast cancer at Dr George Mukhari Academic Hospital
AU - Mokone-Fatunla, D. H.
AU - Koto, M. Z.
AU - Becker, J. H.R.
AU - Bondo, M.
AU - Mundawarara, S.
N1 - Publisher Copyright:
© 2019 South African Medical Association. All rights reserved.
PY - 2019
Y1 - 2019
N2 - Background: The purpose of this descriptive study was to determine and compare the incidence of left-sided and right-sided breast cancer at Dr George Mukhari Academic Hospital from January 2000 to June 2016. It aimed to determine if there was a significant variation in laterality of breast cancer at our institution. Method: A retrospective study. Medical records of breast cancer (BC) patients who were newly diagnosed from January 2000 to June 2016 were reviewed. Emphasis was on biopsy results (histology and/or cytology) and/or history of chemotherapy, and breast cancer laterality. Results: Out of 1482 patients, 1427 had unilateral BC and 55 (3.7%) bilateral cancer. A total of 789 (55.3%) patients had left-sided breast cancer (LSBC) and 638 (44.7%) had right BC. Left BC was 10.6% more common than right BC with a left to right laterality ratio (LRR) of 1.24. There was a statistically significant relationship between laterality and stage (p = 0.050), with the right breast having more advanced stage cancers (88.7%) compared to the left breast (85%). There was no statistically significant difference between age, site and histological type of BC and laterality (p = 0.740, p = 0.052, p = 0.394 respectively). Conclusion: Left to right BC excess does exist in patients that were newly diagnosed at Dr George Mukhari Academic Hospital, South Africa, from January 2000 to June 2016.
AB - Background: The purpose of this descriptive study was to determine and compare the incidence of left-sided and right-sided breast cancer at Dr George Mukhari Academic Hospital from January 2000 to June 2016. It aimed to determine if there was a significant variation in laterality of breast cancer at our institution. Method: A retrospective study. Medical records of breast cancer (BC) patients who were newly diagnosed from January 2000 to June 2016 were reviewed. Emphasis was on biopsy results (histology and/or cytology) and/or history of chemotherapy, and breast cancer laterality. Results: Out of 1482 patients, 1427 had unilateral BC and 55 (3.7%) bilateral cancer. A total of 789 (55.3%) patients had left-sided breast cancer (LSBC) and 638 (44.7%) had right BC. Left BC was 10.6% more common than right BC with a left to right laterality ratio (LRR) of 1.24. There was a statistically significant relationship between laterality and stage (p = 0.050), with the right breast having more advanced stage cancers (88.7%) compared to the left breast (85%). There was no statistically significant difference between age, site and histological type of BC and laterality (p = 0.740, p = 0.052, p = 0.394 respectively). Conclusion: Left to right BC excess does exist in patients that were newly diagnosed at Dr George Mukhari Academic Hospital, South Africa, from January 2000 to June 2016.
UR - http://www.scopus.com/inward/record.url?scp=85075264692&partnerID=8YFLogxK
U2 - 10.17159/2078-5151/2019/v57n3a2859
DO - 10.17159/2078-5151/2019/v57n3a2859
M3 - Article
C2 - 31392868
AN - SCOPUS:85071280589
SN - 0038-2361
VL - 57
SP - 55
EP - 61
JO - South African Journal of Surgery
JF - South African Journal of Surgery
IS - 3
ER -