The Basic Facts of Korean Breast Cancer in 2013: Results of a Nationwide Survey and Breast Cancer Registry Database

Abstract

The Korean Breast Cancer Society (KBCS) has reported a nationwide breast cancer data since 1996. We present a comprehensive report on the facts and trends of breast cancer in Korea in 2013. Data on the newly diagnosed patients in the year 2013 were collected from 99 hospitals by using nationwide questionnaire survey. Clinical characteristics such as stage of cancer, histologic types, biological markers, and surgical management were obtained from the online registry database. A total of 19,316 patients were newly diagnosed with breast cancer in 2013. The crude incidence rate of female breast cancer including carcinoma in situ was 76.2 cases per 100,000 women. The median age at diagnosis was 50 years, and the proportions of postmenopausal women with breast cancer accounted for more than half of total patients. The proportion of early breast cancer increased consistently, and the pathologic features have changed accordingly. Breast-conserving surgery was performed in more cases than total mastectomy in the year. The total number of breast reconstruction surgeries markedly increased approaching 3-fold in last 11 years. According to annual percentile change of invasive cancer incidence, the incidence increased rapidly until 2010. And thereafter the increase of it became steadier. For ductal carcinoma in situ, the incidence consistently increased during the same period without any joinpoint. Analysis of nationwide registry data will contribute to defining of the trends and characteristics of breast cancer in Korea.

Keywords: Breast neoplasms; Korea; Online systems; Registries.

Figure 1. Number of newly diagnosed breast cancer patients from 2002 to 2013 in Korea (Korean Breast Cancer Society survey data).

Figure 2. Trends in crude incidence rates of Korean female breast cancer from 2002 to 2013 (Korean Breast Cancer Society survey data). (A) Crude incidence rates of invasive breast cancer. (B) Crude incidence rates of ductal carcinoma in situ.

Figure 3. Trends in the median age at breast cancer diagnosis from 2002 to 2013 in Korea, and the ratio of postmenopausal to premenopausal women at diagnosis.

Figure 4. Changing trends in the hormone receptor-positive breast cancer.

ER=estrogen receptor; PR=progesterone receptor.

Figure 5. Changes in breast cancer incidence according to stage.

Figure 6. Changes in the surgical management of breast cancer. BCS=breast-conserving surgery.

Figure 7. Changing trends in breast reconstruction in patients with breast cancer surgery.