Introduction: Breast-conserving surgery (BCS) followed by radiation therapy has proven to be as effective as modified radical mastectomy, and has, therefore, been considered as the standard treatment for patients with localized breast cancer in Western societies. However, performance of BCS for the treatment of breast cancer in China is not as common as in Western countries. This study was to evaluate healthy women's attitudes towards BCS in an urban region of China.Method: Between February and March 2009, three hundred and fifty healthy women from three urban suburbs of Taiyuan city in Northern China were invited to complete a self-administered questionnaire. Participants' characteristics, including age, education, occupation, and attitudes towards breast cancer treatment options and involvement of treatment decisions, were collected and analyzed.Results: Three hundred and fifteen women returned the questionnaire. The response rate was 90%. The median age of the participants was 31.2 years old (range: 16 – 69 years old). Among them, 49.2% were married, 27.9% had received high levels of education, and 87.3%, 95.2% and 71.4% would like to know the disease status, to involve making treatment decisions, and to accept BCS, respectively, if they were diagnosed with breast cancer. Women aged above 45 years were more likely to choose BCS compared with those less than 45 years old (73.4% vs 61.5%, P = 0.08). There was no association between choices of surgical approaches and levels of education or occupation. As for breast cancer treatment information sources, 76.8% of the participants mentioned oncologists, followed by the internet (12.1%), friends, and media (10.8%). Almost all responders (93.3%) would like to attend hospitals specialized in cancer treatment if breast lumps were detected.Conclusion: Although only 7.1% of breast cancer patients attending a specialized tumor hospital in Taiyuan city underwent BCS, the current study indicate that most women in Northern China would prefer BCS to mastectomy if they were diagnosed with breast cancer. Therefore, further occupational training is warranted for oncologists in China so that optimal treatments for patients with breast cancer can be carried out.

Citation Information: Cancer Res 2009;69(24 Suppl):Abstract nr 6077.

2009