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早期乳腺癌初次放射治疗后局部复发的时间进程及预后

Time course and prognosis of local recurrence following primary radiation therapy for early breast cancer.

作者信息

Harris J R, Recht A, Amalric R, Calle R, Clark R M, Reid J G, Spitalier J M, Vilcoq J R, Hellman S

出版信息

J Clin Oncol. 1984 Jan;2(1):37-41. doi: 10.1200/JCO.1984.2.1.37.

DOI:10.1200/JCO.1984.2.1.37
PMID:6699656
Abstract

The frequency, time course, and prognosis of local recurrence following primary radiation therapy in 152 patients with early breast cancer treated before 1967 were examined. Local recurrence occurred at a constant rate over the first 14 years after treatment. The crude 15-year local recurrence rate was 22%. Of the 30 patients who developed an isolated local recurrence and underwent definitive secondary surgery, the 10-year freedom from distant relapse rate was 50%. These results indicate that breast cancer patients treated by primary radiation therapy require long-term follow-up to detect curable local recurrences.

摘要

对1967年前接受治疗的152例早期乳腺癌患者进行了初次放射治疗后局部复发的频率、时间进程和预后研究。治疗后的前14年,局部复发以恒定速率发生。15年的粗局部复发率为22%。在30例发生孤立性局部复发并接受确定性二次手术的患者中,10年无远处复发率为50%。这些结果表明,接受初次放射治疗的乳腺癌患者需要长期随访以发现可治愈的局部复发。

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引用本文的文献

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Is breast conservative surgery a reasonable option in multifocal or multicentric tumors?对于多灶性或多中心性肿瘤,保乳手术是一个合理的选择吗?
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Contemporary problems in the surgical management of breast cancer: the surgical/radiological interface.乳腺癌外科治疗中的当代问题:外科/放射学界面
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Familial breast cancer: an investigation into the outcome of treatment for early stage disease.
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Fam Cancer. 2001;1(2):65-72. doi: 10.1023/a:1013867917101.
4
Salvage surgery for recurrence after breast conservation.保乳术后复发的挽救性手术。
World J Surg. 1994 Jan-Feb;18(1):93-7. doi: 10.1007/BF00348198.
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Risk factors and management of local recurrence following breast conservation surgery.保乳手术后局部复发的危险因素及处理
World J Surg. 1994 Jan-Feb;18(1):76-80. doi: 10.1007/BF00348195.
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Current status of conservative surgery and radiotherapy as primary local treatment for early carcinoma of the breast.保守手术及放疗作为早期乳腺癌主要局部治疗方法的现状
Breast Cancer Res Treat. 1985;5(3):245-55. doi: 10.1007/BF01806019.
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[Technic of breast-saving surgery].[保乳手术技术]
Langenbecks Arch Chir. 1986;368(4):255-66. doi: 10.1007/BF01263215.
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