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Early Data from the First Population-Wide Breast Cancer-Specific Registry in Hong Kong

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Abstract

Background

Current measures for breast cancer prevention and options for treatment adopted in Hong Kong are mainly based on research data and clinical evidence from overseas. It is essential to establish a cancer-specific registry to monitor the status of breast cancer in Hong Kong.

Objectives

We summarized the current status of breast cancer in Hong Kong based on the data collected from Hong Kong Breast Cancer Registry (HKBCR).

Methods

Prevalent and newly diagnosed breast cancers (including in situ and invasive breast cancers) were registered in the HKBCR. Information on patient demographics, risk factors, medical information, and survival were analyzed and reported in this study.

Results

Data of 2,330 breast cancer patients were analyzed. We observed an earlier median age at diagnosis in Hong Kong than those reported in other countries. Distribution of cancer stage was: stage 0 (11.4%), stage I (31.4%), stage II (41%), stage III (12.5%), stage IV (0.8%), and unclassified (2.9%). The percentages of patients who received surgery, chemotherapy, radiation therapy, and endocrine therapy were 98.7, 67.9, 64.8, and 64.1%, respectively. At a median follow-up of 1.2 years, locoregional recurrence was recorded at 2%, distant recurrence at 2.8%, and breast-cancer–related mortality at 0.3%.

Conclusions

The HKBCR serves as a surveillance program to monitor disease and treatment patterns. It is pivotal to support research for more effective breast cancer prevention and treatment strategies in Hong Kong.

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References

  1. Carter KJ, Castro F, Kassler E, Ericson B (2003) A computer model for study of breast cancer. Comput Biol Med 33:345–360

    Article  PubMed  Google Scholar 

  2. International Agency for Cancer Research (IARC) (2008) World cancer report 2008. IARC Press, Lyon

    Google Scholar 

  3. Hong Kong Cancer Stat (2006) Hong Kong Cancer Registry, Hospital Authority, 2008. http://www.ha.org.hk/cancerreg. Accessed 9 March 2009

  4. Agarwal G, Pradeep PV, Aggarwal V, Yip CH, Cheung PS (2007) Spectrum of breast cancer in Asian women. World J Surg 31:1031–1040. doi:10.1007/s00268-005-0585-9

    Article  PubMed  Google Scholar 

  5. Hong Kong Cancer Registry, Hospital Authority. Increasing cancer burden but decreasing risk - observation in the past quarter century. http://www3.ha.org.hk/cancereg/e_topic.asp. Accessed 18 Feb 2010

  6. Kennaway EL (1950) The data relating to cancer in the publications of the General Register Office. Br J Cancer 4:158–172

    Article  PubMed  CAS  Google Scholar 

  7. Griswold MH, Wilder CS, Cutler SJ, Pollack ES (1955) Cancer in Connecticut . Connecticut State Department of Health, Hartford 1935–1951

    Google Scholar 

  8. Connelly RR, Campbell PC, Eisenberg H (1968) Central Registry of cancer cases in Connecticut. Publ Health Rep 83:386–390. U.S. Public Health Service, Washington DC

    Google Scholar 

  9. Stocks P (1959) Cancer registration and studies of incidence by surveys. Bull World Health Org 20(697–671):5

    Google Scholar 

  10. Barclay THC (1976) Canada, Saskatchewan. In: Waterhouse J, Muir CS, Correa P, Powell J (eds) Cancer incidence in five continents. Vol. III (IARC Scientific Publications No. 15). International Agency for Research on Cancer, Lyon, pp 160–163

    Google Scholar 

  11. Danish Cancer Registry (1985) Cancer incidence in Denmark 1981 and 1982. Danish Cancer Society, Copenhagen

    Google Scholar 

  12. Wagner G (1985) Cancer registration: historical aspects. In: Parkin DM, Wagner G, Muir CS (eds) The role of the Registry in cancer control (IARC Scientific Publications No. 66). International Agency for Research on Cancer, Lyon, pp 3–12

    Google Scholar 

  13. Coleman M, Wahrendorf J (1989) Directory of ongoing research in cancer epidemiology 1989/90 (IARC Scientific Publications No. 101). International Agency for Research on Cancer, Lyon

    Google Scholar 

  14. Breast and Colon Cancer Family Registries by National Cancer Institute. http://epi.grants.cancer.gov/CFR/about_breast.html. Accessed 22 Feb 2010

  15. Breast Cancer Registry of Greater Cincinnati (BCRGC). http://www.eh.uc.edu/breastcancerregistry/. Accessed 22 Feb 2010

  16. http://www.censtatd.gov.hk/hong_kong_statistics/statistics_by_subject/index.jsp?subjectID=1&charsetID=1&displayMode=T. Accessed 30 Jan 2010

  17. AJCC cancer staging handbook (2002) 6th edn. Springer-Verlag, New York

  18. International Classification of Disease for Oncology (ICD-O) (1976) WHO, Geneva, Switzerland

  19. Richards MA, Smith P, Ramirez AJ, Fentiman IS, Rubens RD (1999) The influence on survival of delay in the presentation and treatment of symptomatic breast cancer. Br J Cancer 79:858–864

    Article  PubMed  CAS  Google Scholar 

  20. Million Women Study Collaborators (2003) Breast cancer and hormone replacement therapy in the Million Women Study. Lancet 362:419–427

    Article  Google Scholar 

  21. Ries LAG, Melbert D, Krapcho M et al. (eds) (1975–2004) SEER Cancer Statistics Review, National Cancer Institute. MD, Bethesda, http://seer.cancer.gov/csr/1975_2004/, based on November 2006 SEEER data submission, posted to the SEER Website, 2007

  22. Australian Institute of Health and Welfare & National Breast Cancer Centre (2006) Breast Cancer in Australia: an overview, 2006. Cancer Series No. 34. Cat. No. CAN 29. AIHW, Canberra

  23. Tan BK, Lim GH, Czene K, Hall P, Chia KS (2009) Do Asian breast cancer patients have poorer survival than their western counterparts? A comparison between Singapore and Stockholm. Breast Cancer Res 11(1):R4

    Article  PubMed  Google Scholar 

  24. Kwong A, Cheung P, Chan S, Lau S (2008) Breast cancer in Chinese women younger than age 40: are they different from their older counterparts? World J Surg 32(12):2554–2561. doi:10.1007/s00268-008-9589-6

    Article  PubMed  Google Scholar 

  25. Wong IO, Cowling BJ, Schooling CM, Leung GM (2007) Age-period-cohort projections of breast cancer incidence in a rapidly transitioning Chinese population. Int J Cancer 121(7):1556–1563

    Article  PubMed  CAS  Google Scholar 

  26. Statistical Information Team, Cancer Research UK (2009) Breast Cancer- UK. http://info.cancerresearchhk.org/cancerstats/. Accessed 20 July 2009

  27. Cuncins-Hearn AV, Boult M, Babidge W, Zorbas H, Villanueva E, Evans A, Oliver D, Kollias J, Reeve T, Maddern G (2006) National breast cancer audit: overview of invasive breast cancer management. ANZ J Surg 76:745–750

    Article  PubMed  Google Scholar 

  28. Breast Cancer Facts in Hong Kong (2008) Report. Hong Kong Breast Cancer Foundation

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Acknowledgments

The authors thank all of the patients, doctors, data management staff, and volunteers who have participated in this Registry. The authors also acknowledge Peter Kwan for professional inputs, Dr. Gary Yeoh for information technology support, Yvonne Chua for legal advice, Sandra Mak and Veronica Bourke for management advice, and Doris Kwan and Joanna Choi for input as survivor advocates. Without their tremendous efforts, we could not have even kick started this meaningful program.

Competing interests

The authors declare that they have no competing interests.

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Correspondence to Polly Cheung.

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Cheung, P., Hung, W.K., Cheung, C. et al. Early Data from the First Population-Wide Breast Cancer-Specific Registry in Hong Kong. World J Surg 36, 723–729 (2012). https://doi.org/10.1007/s00268-012-1426-2

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  • DOI: https://doi.org/10.1007/s00268-012-1426-2

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