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ABSTRACT: Long-Term Mortality of Women with a Diagnosis of Breast
Cancer
Survival from breast cancer has improved over the last few years,
but scanty information is available on the long-term follow-up.
We therefore considered data on 1,095 women with breast cancer
diagnosed between 1974 and 1984 in the Swiss Cancer Registry
of Vaud (population 616,000 inhabitants) who had survived for
at least 10 years.
Overall, 129 deaths from breast cancer were
observed 10-19 years after the original diagnosis, corresponding
to a standardized mortality ratio (SMR) of 20.3 (95% confidence
interval (CI) 17.0-24.2).
An excess mortality from breast cancer
was observed 10-14 (SMR = 22.6) and 15-19 (SMR = 13.4) years
after the original diagnosis. The SMR was 25.2 for women diagnosed
with breast cancer at age <60 years.
Consequently, total mortality
was also elevated (SMR = 2.0, based on 294 deaths). None of the
other causes of death was significantly elevated, but mortality
from cardiovascular disease was 1.4 (95% CI 0.9-2.0) 15-19 years
after breast cancer diagnosis.
A second primary breast cancer
was observed in 89 women. Of these, 19 (21%) died of breast cancer.
Therefore in women diagnosed with breast cancer, there remains
a substantial excess of breast cancer mortality up to 20 years
after the original diagnosis.
[12/03/2002; Oncology]
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