Breast Cancer and Breast Cancer Surgery in Thailand: A View from the Thai Journal of Surgery


  • Panuwat Lertsithichai Breast and Endocrine Surgery Unit, Department of Surgery, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand


Breast cancer, Breast cancer surgery, The Thai Journal of Surgery


In the present article we review the recent history of breast surgery in Thailand, as exemplified by the articles published in the Thai Journal of Surgery within the past 40 years. We will focus exclusively on breast cancer, as most of the articles as well as abstracts published in the Journal were concerned with this topic. We will, more or less, be looking at these articles and papers chronologically rather than thematically, to show how ideas and practices change with time relative to one another. Contributions from outside of Thailand are included to help set the world stage at any particular period. Short summaries of certain key developments in the same period from the author’s perspective are provided as an introduction to some articles. The overall presentation is unabashedly that of “whiggish” historiography, viewing everything from the high point of current knowledge. This approach is perhaps easier for clinicians to understand and tells a valid story of how we arrive at the present state of affairs, regardless of what the future may bring. We divide the review into sections named after the decade of publication and some dominant themes within that decade. At the end, we briefly list contributions on breast cancer in published abstracts of presentations given at the Annual Congress of the Royal College of Surgeons of Thailand within the past 40 years.


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1. Raksasook S. Fibrocystic disease of the breast. Thai J Surg 1980;1:2-4.

2. Raksasook S. The validity of radical mastectomy in the treatment of breast cancer. Thai J Surg 1980;1:103-8.

3. Baum M. Primary treatment of operable breast cancer. Thai J Surg 1983;4:25-8.

4. Maureen Roberts M. The aetiology, early diagnosis and detection of breast cancer. Thai J Surg 1983;4:59-66.

5. Griffiths K, Read GF, Wilson DW. Breast cancer research: a new approach through assays for steroids in saliva. Thai J Surg 1983;4:49-58.

6. Visutakul P, Pattanapanyasat K, Kayanond V, et al. Breast cancer patients as determined by dextran coated charcoal and polyethylene glycol methods: incidences and clinical correlates. Thai J Surg 1983;4:67-73.

7. Parinayakosol L, Tapsuwan A, Boonjawat J. The binding of diesthylstilbestrol and tamoxifen with cytolsolic estrogen receptor. Thai J Surg 1983;4:85-90.

8. Nicholson RI, Campbell FC, Davies P. The endocrinology of antiestrogen action on breast cancer. Thai J Surg 1983;4:29-34.

9. Griffiths K, Blamey RW, Campbell FC, et al. The prognostic value of steroid receptors in early breast cancer. Thai J Surg 1983;4:35-40.

10. De Haan HA. A clinical review of ‘Nolvadex’ in the management of breast cancer. Thai J Surg 1983;4:74-80.

11. Nicholson RI, Walker KJ, Harper M, et al. Future use of luteinizing hormone-releasing hormone agonists in the therapy of breast cancer in pre- and peri-menopausal women. Thai J Surg 1983;4:91-96.

12. Chindavijak K, Sontipong S. Epidemiology of breast cancer in Thailand. Thai J Surg 1984;5:14-8.

13. Vajrabukka T, Rajatapiti B, Tanprayoon T. Clinical characteristics and problems of breast cancer. Thai J Surg 1983;4:41-4.

14. Raksasook S, Kanjanapanjapol S. Combinations of surgery, chemotherapy and radiotherapy in early breast cancer. Thai J Surg 1983;4:45-8.

15. Howell A, Morrison JM. Adjuvant chemotherapy for operable breast cancer. Thai J Surg 1983;4:97-109.

16. Limsila T. Chemotherapy for advanced breast cancer: a study of 50 patients. Thai J Surg 1984;5:1-13.

17. Suthun N, Maun LP, Salyapongse A. Breast reconstruction after mastectomy. Thai J Surg 1985;6:56-8.

18. Damrongvadha P. Management of breast lumps. Thai J Surg 1990;11:47-54.

19. Tanprayoon T, Vajrapukka T, Rajatapiti B. Breast lesions in Thai women. Thai J Surg 1983;4:110-2.

20. Panjapiyakul C, Suwanraks C, Shaipanich T, et al. Impact of mammography in management of breast cancer. Thai J Surg 1991;12:57-62.

21. Bunyaratavej P. Results of breast cancer survival and prognostic factors at National Cancer Institute (Thailand) during 1992 – 1996. Thai J Surg 1998;19:129-32.

22. Amornmarn R, Prempree T, Bui M, et al. p53 mutation and MDR1 overexpression in local and distant failures of breast cancer treated by lumpectomy and radiation. Thai J Surg 1999;20:1-8.

23. Wilasrusmee C, Kitisin N, Lertsithichai P, et al. Factors associated with the preference to undergo mastectomy or breast conserving surgery for the treatment of breast cancer in patients of a tertiary care hospital breast clinic. Thai J Surg 1999;20:55-60.

24. Somwangprasert A, Lijegren G. Sentinel node in breast cancer. Thai J Surg 1999;20:89-92.

25. Ratanawichitrasin A, Rojananin S, Bhotisuwan K, Tansuphasiri V. Lymphatic mapping with isosulfan blue and sentinel lymph node biopsy for breast cancer patients. Thai J Surg 1999;20:93-6.

26. Purasiri P. Lymphatic mapping and sentinel node biopsy in breast cancer: current view. Thai J Surg 2000;21:13-6.

27. Chulakamontri T. Predicting axillary node positivity in patients with breast carcinoma treated at Vajira Hospital. Thai J Surg 2002;23:111-8.

28. Lohsiriwat V, Rojananin S, Bhothisuwan K, et al. Prediction of nipple areolar complex involvement in breast cancer. Thai J Surg 2004;25:71-8.

29. Kuntanapreeda K, Komindr Arunluck, Mahatharadol V. The correlation between HER2/neu overexpression and prognostic and predictive factor in primary breast cancer. Thai J Surg 2005;26:43-8.

30. Boonya-assadorn C, Sattaporn S, Wisutthipaet S, et al. Reliability of detecting macrometastasis in sentinel lymph node in breast cancer patients by bivalved section in comparison to serial section. Thai J Surg 2005;26:78-81.

31. Puttawibul P, Cheewatanakornkul S, Boonyaphiphat P, Kanngurn S. A comparative study between intraoperative scrape imprint immunocytochemistry and serial section with combined H&E staining and immunochemistry for the detection of breast cancer cell metastasis in the sentinel lymph node. Thai J Surg 2006;27:108-13.

32. Luechakiettisak P, Rungkaew P. Breast biopsy – accuracy of core needle biopsy compared with excisional biopsy or incisional biopsy: a prospective study. Thai J Surg 2008;29:6-10.

33. Hiranyatheb P, Kongdan Y, Lertsithichai P. Effects of waiting time and biopsy methods on invasive breast cancer survival. Thai J Surg 2009;30:58-65.

34. Sukarayothin T, Luadthai P, Chirappapha P, et al. DCIS diagnosed via core needle biopsy: upstaging rate, microinvasion and axillary lymph node metastasis. Thai J Surg 2012;33:61-5.

35. Wongmaneerung P, Somwongprasert A, Watcharachon K, Ditsatham C. Positive predictive value of BIRADS 4 and 5 mammography in patients with non-palpable breast mass. Thai J Surg 2015;36:116-9.

36. Ingsirorat R. Outcome analysis of breast conserving surgery with latissimus dorsi flap replacement. Thai J Surg 2012;33:115-9.

37. Angkurawaranon C, Lohsiriwat V, O-Charoenrat P. Outcomes and oncologic safety of autologous dermal fat grafting in breast conservation therapy. Thai J Surg 2014;35:50-6.

38. Chaisrisawadisuk S, Kummalue T, Chuangsuwanich T, et al. Efficacy of intraoperative one-step nucleic acid amplification assay for detection of breast cancer metastases in sentinel lymph node. Thai J Surg 2014;35:42-9.

39. Kuntaraksa N. Lymphatic ligation versus conventional axillary lymph node dissection in breast cancer patients: a randomized control trial. Thai J Surg 2018;39:65-71.

40. Sukpanich R, Lertsithichai P, Chirappapha P, et al. Prognosis and clinical outcome of papillary carcinoma of the breast at a tertiary care hospital. Thai J Surg 2019;40:101-6.

41. Bhumisawatdi P, Sa-nguanraksa D, O-Charoenrat P. Benefit of post-mastectomy radiotherapy for breast cancer patients with T1-2 and 1-3 positive axillary lymph nodes. Thai J Surg 2018;39:39-44.

42. Pornchai S, Chirappapha P, Vassanasiri W, et al. Superior epigastric artery: safety zones for pedicled TRAM flap reconstruction – a case series. Thai J Surg 2019;40:53-7.

43. Chirappapha P, Kitudomrat S. Breast conserving surgery with random rotation flap. Thai J Surg 2019;40:71-6.

44. Chirappapha P, Pornchai S. Vertical Mastopexy. Thai J Surg 2019;40:117-25.




How to Cite

Lertsithichai P. Breast Cancer and Breast Cancer Surgery in Thailand: A View from the Thai Journal of Surgery. Thai J Surg [Internet]. 2021 Dec. 30 [cited 2022 Dec. 10];42(4):134-52. Available from:



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