Latif F, Helgeland J, Bukholm G, Bukholm I R K
Department of Breast and Endocrine Surgery, Akershus University Hospital, Lorenskog, Norway Institute of Clinical Medicine, University of Oslo, Oslo, Norway
The Norwegian Knowledge Centre for the Health Services, Oslo, Norway.
Scand J Surg. 2015 Dec;104(4):248-53. doi: 10.1177/1457496914565420. Epub 2015 Feb 27.
Several studies have demonstrated that breast cancer survival rates differ with ethnicity. Most of these studies analyzed discrepancies between African-American and Caucasian-American women and were performed in the United States. There are increasing concerns about differences in breast cancer survival among immigrants from Asia and Africa living in Europe, including those living in Scandinavian countries. There are few data on breast cancer survival in relation to race or ethnicity in Scandinavian countries, even though immigrants from Asia and Africa have lived in Scandinavian countries for decades. The aim of this study was to identify variations in breast cancer incidence, treatment modalities, relapse, and survival among women from Pakistan, Sri Lanka, and Somalia compared to ethnic Norwegian women.
The incidence, treatment modalities, relapse, and survival of breast cancer were analyzed in women from Pakistan, Sri Lanka, and Somalia in a nation-based study over a period of 7 ears. Results for women from Pakistan, Sri Lanka, and Somalia were compared with those from a group of ethnic Norwegian women during the same period. In our study, 63 patients from Pakistan, Sri Lanka, and Somalia were diagnosed with breast cancer during the period 2002-2009 in Norway.
Comparison between women from Pakistan, Sri Lanka, and Somalia and ethnic women from Norway revealed significant differences in cancer stage at the time of diagnosis, age at diagnosis, type of surgical treatment, and relapse and breast cancer mortality rates. The findings of this study demonstrate that the outcome after a breast cancer diagnosis is significantly worse for women from Pakistan, Sri Lanka, and Somalia than for ethnic Norwegian women. In addition, the mean age at the breast cancer diagnosis was lower for women from Pakistan, Sri Lanka, and Somalia, especially those from Sri Lanka and Somalia, than for ethnic Norwegian women.
多项研究表明，乳腺癌生存率因种族而异。这些研究大多分析了非裔美国女性和欧裔美国女性之间的差异，且是在美国进行的。人们越来越关注居住在欧洲的亚洲和非洲移民中乳腺癌生存率的差异，包括那些居住在斯堪的纳维亚国家的移民。尽管来自亚洲和非洲的移民已在斯堪的纳维亚国家生活了几十年，但关于斯堪的纳维亚国家乳腺癌生存率与种族或民族关系的数据却很少。本研究的目的是确定与挪威族女性相比，来自巴基斯坦、斯里兰卡和索马里的女性在乳腺癌发病率、治疗方式、复发和生存率方面的差异。
在一项为期7年的全国性研究中，分析了来自巴基斯坦、斯里兰卡和索马里的女性乳腺癌的发病率、治疗方式、复发和生存率。将来自巴基斯坦、斯里兰卡和索马里的女性的结果与同期一组挪威族女性的结果进行了比较。在我们的研究中，2002年至2009年期间，挪威有63名来自巴基斯坦、斯里兰卡和索马里的患者被诊断出患有乳腺癌。
来自巴基斯坦、斯里兰卡和索马里的女性与挪威族女性之间的比较显示，在诊断时的癌症分期、诊断年龄、手术治疗类型、复发率和乳腺癌死亡率方面存在显著差异。本研究结果表明，与挪威族女性相比，来自巴基斯坦、斯里兰卡和索马里的女性乳腺癌诊断后的预后明显更差。此外，来自巴基斯坦、斯里兰卡和索马里的女性，尤其是来自斯里兰卡和索马里的女性，乳腺癌诊断时的平均年龄低于挪威族女性。
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