G. Giles et al., In situ and small invasive breast cancer register in Victoria, 1988 to 1992: Tumour characteristics and patient management, AUST NZ J S, 71(5), 2001, pp. 266-270
Background: All cases of in situ and invasive breast cancer are reported to
the Victorian Cancer Registry. In 1988 a special subregister of all cases
of carcinoma in situ and small invasive cancers up to 10 mm in size was est
ablished - the In situ and Small Invasive Breast Cancer Register (ISSIBCR).
This was unique in being a population-based register and only possible bec
ause in Victoria, as in some other Australian states, all cancers including
in situ disease are reported to the Central Cancer Registry.
Methods: Between 1 January 1988 and 31 December 1992, 517 cases of in situ
cancers and 892 invasive cancers of less than or equal to 10 mm in diameter
were registered. During the study period, mammography screening was progre
ssively introduced in Victoria and the number of cases, in both categories
registered annually, doubled.
Results: The method of detection, the pathology and treatment of these lesi
ons are described. It is of interest that 46.5% of the in situ cancers and
68.8% of the invasive cancers were detected either by the patient or her do
ctor on clinical examination. Total mastectomy was the method of treatment
in 35.4% of in situ cancers and 42.0% of small invasive tumours. Only 38.0%
of patients with small invasive cancers treated by breast-conserving surge
ry had irradiation of the affected breast.
Conclusions: This register provides a valuable resource for the follow up o
f the natural history and outcome of treatment of the affected women.