See related article:
Survival after lumpectomy and mastectomy for early stage invasive breast cancer: The effect of age and hormone receptor status
Article first published online: 3 JUL 2013
Copyright © 2013 American Cancer Society
Volume 119, Issue 17, page 3253, 1 September 2013
How to Cite
Glaser, A. I. (2013), Survival after lumpectomy and mastectomy for early stage invasive breast cancer: The effect of age and hormone receptor status. Cancer, 119: 3253. doi: 10.1002/cncr.28182
See related article:
- Issue published online: 20 AUG 2013
- Article first published online: 3 JUL 2013
- Manuscript Accepted: 23 APR 2013
- Manuscript Received: 28 MAR 2013
Hwang and colleagues have observed that women undergoing mastectomy have a poorer disease-specific survival rate compared with women undergoing lumpectomy. One difference is that the women undergoing mastectomy have higher education/higher income (59% are in the upper socioeconomic quintiles for mastectomy compared with 50% for lumpectomy; 22% are in the lower quintiles for mastectomy compared with 29% for lumpectomy).
This difference in income may partially explain the difference in the survival rate. Several studies[2, 3] have demonstrated that higher income women consume more alcohol than lower income women, and it has been well established that alcohol consumption increases the risk of breast cancer. In addition, women with higher income are more likely to have received hormone-replacement therapy.
Alan I. Glaser, MD
Newton-Wellesley Hospital, Newton, Massachusetts
- 2Alcoholic consumption in the in the US: patterns and trends. Available at: http://www2.potsdam.edu. Accessed February 28, 2013..
- 3Income trajectories and alcohol use: investigating the links between lifecouse income trajectories and adult drinking patterns. Available at: http://paa2010.princenton.edu/papers/101517. Accessed February 28, 2013., , .
- 4MedlinePlus Health News; National Institutes of Health. Alcohol and cancer connection? Available at: http://www.nlm.nih.gov/medlineplus/videos/news/Alcohol_Cancer_021513-1.html. Accessed February 28, 2013.
- 5National Center for Health Statistics. Hormone replacement therapy: knowledge and use in the United States. Available at: http://www.cdc.gov/nchs/data/misc/hrt_booklet.pdf. Accessed February 28, 2013., ;