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Surgical management of breast cancer in China: A 15-year single-center retrospective study of 18,502 patients.

Medicine (Baltimore) · 2016 · PMC5106045 · PMID 27828839

2
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an increasing trendno p-value reported
[ 5 ] However, in recent years, some studies have reported an increasing trend for mastectomy, partly due to the increased use of pre-operative magnetic resonance imaging (MRI), breast reconstruction, and patient choice.

also in 63,971 other papers

a decreasing trendno p-value reported
Modified radical mastectomy experienced an increasing and then a decreasing trend, peaking in 2005 at 81.7% of the cases.

also in 47,180 other papers

Quoted from the open-access full text in Europe PMC under the licence the publisher applied. The sentence is reproduced exactly as published; the emphasis is ours.