Current and Future Strategy for Breast Cancer Treatment at Nagasaki University Hospital

DOI 機関リポジトリ HANDLE
  • MORISHITA Mariko
    Department of Molecular Medicine, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences Department of International Hibakusha Medical Center, Nagasaki University Hospital
  • HAYASHI Tomayoshi
    Department of Pathology, Nagasaki University Hospital
  • MAEDA Shigeto
    Department of Transplantation and Digestive Surgery, Nagasaki University Graduate School of Biomedical Sciences
  • YANO Hiroshi
    Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
  • ISOMOTO Ichiro
    Department of Radiology, Nagasaki University Graduate School of Biomedical Sciences
  • ABE Kuniko
    Department of Pathology, Nagasaki University Hospital
  • MATSUMOTO Megumi
    Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
  • ANAMI Masanobu
    Department of Pathology, Nagasaki University Hospital
  • OHTSURU Akira
    Department of International Hibakusha Medical Center, Nagasaki University Hospital
  • YAMASHITA Shunichi
    Department of Molecular Medicine, Atomic Bomb Disease Institute, Nagasaki University Graduate School of Biomedical Sciences Department of International Hibakusha Medical Center, Nagasaki University Hospital Radiation and Environmental Health, Department of Protection of the Human Environment, World Health Organization
  • NAGAYASU Takeshi
    Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences
  • KANEMATSU Takashi
    Department of Transplantation and Digestive Surgery, Nagasaki University Graduate School of Biomedical Sciences

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抄録

Breast cancer has emerged as the most frequent malignant neoplasm among Japanese women in recent years, raising awareness in society of the issue of breast cancer, including good screening and therapies. In fact, the establishment of breast cancer screening program with mammography in the United States and Western Europe has contributed to improve the diagnosis of breast cancer at early stage, and proper management, including various options of evidence-based treatment has not only reduced mortality but also enhanced patients' quality of life. However, the mortality rate due to breast cancer in Japan has continued to increase, and the number of patients is also increasing rapidly. It is therefore very urgent to develop a good system of breast care in all medical facilities as well as the provision of a national scheme in Japan. In this report, we review the situations of breast surgery at Nagasaki University Hospital from 1975 to 2004 and current management practices for breast disease, and evaluate the possibility of establishing a better system for breast care at our hospital, which could then act as a core medical institute in Nagasaki.

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