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Annual report of national clinical database-breast cancer registry in 2023: systemic therapy for small breast cancer - PubMed

5 hours ago
  • #Breast Cancer Registry
  • #Systemic Therapy
  • #Japan
  • The report provides 2023 nationwide statistics from Japan's National Clinical Database-Breast Cancer Registry.
  • Among 107,372 breast cancer patients, 99.3% were female with a median age of 62 years.
  • Clinical stage distribution: Stage 0 (15.5%), Stage I (42.1%), Stage II (31.1%), Stage III (7.0%), Stage IV (2.1%).
  • Receptor positivity rates: ER (78.9%), PR (70.0%), HER2 (13.3%).
  • Among patients without distant metastases, 41.2% underwent breast-conserving surgery, 76.5% sentinel lymph node biopsy, and 6.0% breast reconstruction.
  • Radiotherapy distribution: whole-breast irradiation (75.2%), chest-wall irradiation (15.7%), regional irradiation (20.7%).
  • For pT1abN0M0 breast cancer, systemic therapy varied: 92.4% of HR-positive/HER2-negative received endocrine therapy, 46.9% of HER2-positive received chemotherapy/anti-HER2 therapy, and 31.2% of HR-negative/HER2-negative received chemotherapy.
  • The report highlights risk-adapted, subtype-specific systemic therapy patterns in small breast cancer in Japan.