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辅助放疗治疗导管原位癌患者的治疗结果。

Treatment results in patients with ductal carcinoma in situ treated with adjuvant radiotherapy.

机构信息

Dokuz Eylül University Medical School/Dokuz Eylül University Breast Tumor Group, İzmir, Turkey

Department of Radiation Oncology, Tepecik Regional Training and Research Hospital, University of Health Sciences, İzmir, Turkey

出版信息

Turk J Med Sci. 2019 Aug 8;49(4):1151-1156. doi: 10.3906/sag-1810-53.

Abstract

BACKGROUND/AIM: The aim of this study was to evaluate the treatment results of patients undergoing adjuvant radiotherapy (ART) after breast surgery with the diagnosis of ductal carcinoma in situ (DCIS).

MATERIALS AND METHODS

A total of 61 women who had undergone radiotherapy following extensive surgical excision were enrolled. All patients underwent 50 Gy ART. Survival analysis was performed using Kaplan–Meier analysis and SPSS 20.0.

RESULTS

The median age was 52 years (range: 28–86). The median follow-up period after RT was 92 months (range: 23–237). The median overall survival and distant and regional recurrence-free and disease-specific survival was 96 months (range: 26–240), while disease-free and local recurrence-free survival was 96 months (range: 22–240). While the 15-year and 20-year overall survival rates were 87% and 87%, respectively, the recurrence-free survival rates were 98% and 98%, respectively; the rates of disease-specific survival were 100% and 100%, respectively.

CONCLUSION

The results of this study with a long follow-up period have shown that ART in DCIS is an effective treatment method to provide local disease control. However, further large studies are needed to identify the prognostic factors.

摘要

背景/目的:本研究旨在评估乳腺手术后行辅助放疗(ART)治疗导管原位癌(DCIS)患者的治疗效果。

材料与方法

共纳入 61 例行广泛手术切除后行放疗的患者。所有患者均接受 50GyART。采用 Kaplan-Meier 分析和 SPSS20.0 进行生存分析。

结果

中位年龄为 52 岁(范围:28-86 岁)。RT 后中位随访时间为 92 个月(范围:23-237)。中位总生存、远处和区域无复发生存以及疾病特异性生存时间为 96 个月(范围:26-240),无疾病和局部无复发生存时间为 96 个月(范围:22-240)。15 年和 20 年总生存率分别为 87%和 87%,无复发生存率分别为 98%和 98%;疾病特异性生存率分别为 100%和 100%。

结论

这项具有长期随访的研究结果表明,ART 治疗 DCIS 是一种有效的局部疾病控制治疗方法。然而,需要进一步的大型研究来确定预后因素。

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Ann Surg Oncol. 2017 Mar;24(3):660-668. doi: 10.1245/s10434-016-5583-7. Epub 2016 Oct 4.
3
Long-term outcomes of hypofractionation versus conventional radiation therapy after breast-conserving surgery for ductal carcinoma in situ of the breast.
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4
Ductal carcinoma in situ--the influence of the radiotherapy boost on local control.
Int J Radiat Oncol Biol Phys. 2012 Feb 1;82(2):e153-8. doi: 10.1016/j.ijrobp.2011.03.045. Epub 2011 Jun 12.
6
Ductal carcinoma in situ treated with breast-conserving surgery and radiotherapy: a comparison with ECOG study 5194.
Cancer. 2011 Mar 15;117(6):1156-62. doi: 10.1002/cncr.25623. Epub 2010 Nov 29.
7
The impact of surgery on ductal carcinoma in situ outcomes: the use of mastectomy.
J Natl Cancer Inst Monogr. 2010;2010(41):197-9. doi: 10.1093/jncimonographs/lgq032.
8
Sentinel lymph node biopsy and management of the axilla in ductal carcinoma in situ.
J Natl Cancer Inst Monogr. 2010;2010(41):145-9. doi: 10.1093/jncimonographs/lgq026.
9
Effect of radiotherapy boost and hypofractionation on outcomes in ductal carcinoma in situ.
Cancer. 2011 Jan 1;117(1):54-62. doi: 10.1002/cncr.25344. Epub 2010 Aug 27.
10
Long-term results of hypofractionated radiation therapy for breast cancer.
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