title: [Optimal surgery for breast cancer elderly patients].
abstract: OBJECTIVE
  To evaluate the feasibility of optimal surgery for breast cancer in elderly patients.
  
  
  METHODS
  The clinical data of 481 patients aged 70 years and above who were treated in our hospital from 1995 to 2009 were retrospectively analyzed.
  
  
  RESULTS
  Based on their general conditions and clinical stages, 481 patients were divided into three groups to received different surgical procedures including modified radical mastectomy (MRM group, n=256), tumor extended resection (ER group, n=173), and simple mastectomy (SM group, n=52). The overall 5-and 10-year survival rates were 63.77%and 46.71%, respectively, and the 5-year (p=0.956) and 10-year (p=0.977) survival rates were not significantly among these three groups. However, patients in the ER group had significantly shorter hospital stay, smaller surgical wound, earlier recovery and less complications.
  
  
  CONCLUSIONS
  It is feasible for female breast cancer patients over 70 years old choose the optimal surgical procedures according to their general conditions and clinical stages.
authors.affiliation: Department of Breast Surgery, PUMC Hospital, CAMS and PUMC, Beijing, China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Lin
authors.forename: Qiang
authors.initials: Q
authors.lastname: Sun
authors.forename: Heng
authors.initials: H
authors.lastname: Guan
authors.forename: Wei-xun
authors.initials: WX
authors.lastname: Zhou
authors.forename: Ying
authors.initials: Y
authors.lastname: Xu
authors.forename: Bin
authors.initials: B
authors.lastname: Wang
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001943:Breast Neoplasms / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008408:Mastectomy / Q000379:methods*; D015411:Mastectomy, Modified Radical; D015413:Mastectomy, Simple; D012189:Retrospective Studies