Surgical management of breast cancer in the elderly patient

Baiba J. Grube, Nora M. Hansen, Wei Ye, Temple Herlong, Armando E. Giuliano*

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

25 Scopus citations


Background: Breast cancer in the older woman is a major health issue and therapeutic challenge. This study asked if presentation, surgical treatment, and outcome of breast cancer are different in elderly women compared with their younger counterparts. Methods: There were 816 women <70 years (younger) and 190 ≥70 years (older) treated surgically for breast carcinoma between January 1992 and April 2000. Data for younger and older patients was analyzed from our prospective database. Results: More older women had mammographic lesions (P <0.006). Breast conservation was the treatment of choice for both groups. Stage, tumor size, histology and disease-specific survival were similar for both. There was no evidence of disease in 93% of cases in the <70 years group at median follow-up of 38.4 months and 91% for the ≥70 years group at 44.5 months. Conclusions: In our population the presentation, surgical treatment, and survival from breast cancer is similar in older and younger women.

Original languageEnglish (US)
Pages (from-to)359-364
Number of pages6
JournalAmerican journal of surgery
Issue number4
StatePublished - 2001


  • Breast neoplasms
  • Elderly
  • Practice patterns
  • Surgical clinical trials
  • Surgical treatment

ASJC Scopus subject areas

  • Surgery


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