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Breast cancer 5 year survival rates (UK, 1975) by stage at diagnosis.

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Presentation on theme: "Breast cancer 5 year survival rates (UK, 1975) by stage at diagnosis."— Presentation transcript:

1 Breast cancer 5 year survival rates (UK, 1975) by stage at diagnosis

2 5-year survival in breast cancer (Europe; 1990) 020406080100 Switzerland Finland France Italy Netherlands Germany Denmark England Spain Scotland Estonia Poland Five-year survival (%) J Nat Cancer Inst 1995; 87: 1209 5-year survival (%) No. of patients75.773.571.470.869.968.468.162.562.561.858.843.92,24311,1232,4983,5952,6533,35917,49860,3901,04311,2612,3871,089

3 Breast cancer demographics Anderson WF et al. Breast Cancer Res Treat 2002; 76: 27–36 24.9 56.9 35.7 64.3 41.4 50.1 8.5 75.1 63.3 20.1 79.9 28.8 65.1 6.1 ER-positive ER-negative Proportion of patients (%) Mean age (years) Age at diagnosis (%) <50  50 Tumour size (%) >2.0 cm  2.0 cm unknown Patients (n=82,488) ER = oestrogen receptor

4 Placebo Tamoxifen Breast cancer continuum: consistency of results on 5 years of tamoxifen

5 Breast cancer incidence and mortality England France Germany Total EU USA n 10,846 10,811 17,692 73,592 39,800 n 34,176 35,726 48,098 210,631 211,300 Incidence Mortality Jemal A et al. CA Cancer J Clin 2003; 53: 5–26; Cancer Research UK. Cancer Stats – Incidence & Mortality UK, April 2003; Ferlay et al. IARC Press, 1999

6 Changes in incidence and mortality from breast cancer (UK, 1994) Incidence In the UK in 1992, the incidence of breast cancer was 40% higher than in 1979 Incidence of breast cancer in the UK (age 50–64) increased steeply following the introduction of screening in 1988 Mortality 110 100 90 80 0 110 100 90 80 0 1950607080879094 Year Screening introduced Age-standardised mortality from breast cancer in women aged 55-69, England and Wales, 1950-94 Quinn M, et al. Br Med J 1995; 311: 1391-1395

7 Improved Outlook in Early Breast Cancer: Indirect Comparison of ATAC data with EBCTCG 1995 Overview 1 (Hormone Receptor +ve Patients >50 Years) Estimated percentage still without recurrence as first event 100 80 0 012345+ years 90 70 84.6% 70.5% 3-year event-free rate: 90% 92% *ATAC data truncated at 42 months 1 EBCTCG. The Lancet 1998; 351: 1451–1467 Anastrozole (ATAC data) Tamoxifen (ATAC data) Tamoxifen (EBCTCG overview) Control (EBCTCG overview)

8 Cancer Research UK, 2003 Number of new cases Age at diagnosis 450 400 350 300 250 200 150 100 50 0 6000 5000 4000 3000 2000 1000 0 85+ 80- 84 75- 79 70- 74 65- 69 60- 64 55- 59 50- 54 45- 49 40- 44 35- 39 30- 34 25- 29 20- 24 15- 19 10- 14 0- 4 5- 9 Rate per 100,000 population number rates Number of new breast cancer cases diagnosed and age-specific rates per 100,000 population, UK, 1999

9 Survival from time of tumour recurrence: in all patients with advanced breast cancer 1974-1979 1980-1984 1985-1989 1990-1994 1995-2000

10 Survival in advanced breast cancer Year of 1st recurrence Median Survival (months) 3 year OS (%) 5 year OS (%) 1974 - 197915 10 1980 - 1984172714 1985 - 1989223722 1990 - 1994274329 1995 - 2000586344


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