Tuesday, October 6, 2009
TUESDAY, Oct. 6 (HealthDay News) -- Less acculturated Latinas with breast cancer are less likely to receive breast reconstruction than Caucasian women but are most likely to want more information about it, and underweight Korean breast cancer patients are at higher risk of death and breast cancer recurrence, according to two studies published online Oct. 5 in the Journal of Clinical Oncology.
Amy K. Alderman, M.D., from the University of Michigan in Ann Arbor, and colleagues examined racial and ethnic differences in breast reconstruction among 3,252 women with breast cancer in Los Angeles and Detroit. The researchers found that, compared to Caucasians, less acculturated Latinas were least likely to receive reconstruction (13.5 versus 40.9 percent), were least likely to see a plastic surgeon before mastectomy (18.1 versus 72.6 percent), and were most likely to desire more information about reconstruction (55.9 versus 17.0 percent).
In a related study, Hyeong-Gon Moon, M.D., from Gyeongsang National University Hospital in Jinju, South Korea, and colleagues examined the association between weight and breast cancer recurrence and death among 29,043 Korean breast cancer patients. After adjusting for a number of factors, the researchers found that underweight women had lower overall survival and breast cancer-specific survival compared with normal weight patients (hazard ratio, 1.48 to 1.49) and a significantly higher risk of distant metastasis (hazard ratio, 1.93) and local recurrence of breast cancer (hazard ratio, 5.13).
"Our study suggests that underweight should be considered to be a high risk factor for death and recurrence after breast cancer surgery, especially in Asian breast cancer patients," Moon and colleagues conclude.
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