10-YEAR RESULTS COMPARING MASTECTOMY TO EXCISION AND RADIATION-THERAPY FOR DUCTAL CARCINOMA IN-SITU OF THE BREAST

被引:175
作者
SILVERSTEIN, MJ
BARTH, A
POLLER, DN
GIERSON, ED
COLBURN, WJ
WAISMAN, JR
GAMAGAMI, P
机构
[1] BREAST CTR,DIV PATHOL,VAN NUYS,CA 91405
[2] BREAST CTR,DIV MED ONCOL,VAN NUYS,CA 91405
[3] BREAST CTR,DIV BREAST IMAGING RADIOL,VAN NUYS,CA 91405
关键词
INTRADUCTAL BREAST CARCINOMA; DUCT CARCINOMA IN SITU; DCIS; NONINVASIVE BREAST CANCER; BREAST; NUCLEAR GRADE; LOCAL RECURRENCE; BREAST IRRADIATION;
D O I
10.1016/0959-8049(95)00283-O
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The 10-year results of 300 patients with ductal carcinoma in situ (DCIS) without microinvasion are reported; 167 treated with mastectomy and 133 treated with excision and radiation therapy. There was a significant difference in disease-free survival at 10 years, in favour of those treated with mastectomy, 98% versus 81% (P = 0.0004). Multivariate analysis confirmed nuclear grade as the only significant predictor of local recurrence (P = 0.02) or invasive local recurrence (P = 0.03) in patients with DCIS treated with excision and radiation therapy. There was no difference in breast cancer-specific survival or overall survival between the two treatment groups.
引用
收藏
页码:1425 / 1427
页数:3
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