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延迟放疗对保乳治疗中局部控制的影响。

Effect of delayed radiation therapy on local control in breast conservation therapy.

作者信息

Meek A G, Park T L, Weiss T A, Bethune W A

机构信息

Department of Radiation Oncology, University Hospital, Stony Brook, NY 11794-7028, USA.

出版信息

Radiology. 1996 Sep;200(3):615-9. doi: 10.1148/radiology.200.3.8756905.

DOI:10.1148/radiology.200.3.8756905
PMID:8756905
Abstract

PURPOSE

To assess local control when radiation therapy is delayed to complete chemotherapy in breast conservation therapy.

MATERIALS AND METHODS

Breast conservation therapy was performed in 310 cases in 297 patients (aged 24-85 years) with stage 0-II breast cancer. Adjuvant chemotherapy was used in 76 cases. The authors analyzed the time between diagnosis and radiation therapy and correlated these findings with local control of disease.

RESULTS

The time between diagnosis and radiation therapy in the 247 cases treated without chemotherapy-related delay was 2-59 weeks (mean, 8 weeks). The interval in the 63 cases with chemotherapy-related delay was 12-63 weeks (mean, 31 weeks; P < .001). Ten of the 11 cases with an in breast relapse were in the group treated without a delay (P = .57).

CONCLUSION

Delaying radiation therapy for chemotherapy does not compromise local control.

摘要

目的

评估在保乳治疗中延迟放疗以完成化疗时的局部控制情况。

材料与方法

对297例年龄在24 - 85岁、患有0 - II期乳腺癌的患者中的310例进行了保乳治疗。76例患者使用了辅助化疗。作者分析了诊断与放疗之间的时间,并将这些结果与疾病的局部控制情况相关联。

结果

247例无化疗相关延迟的患者,诊断与放疗之间的时间为2 - 59周(平均8周)。63例有化疗相关延迟的患者,该间隔为12 - 63周(平均31周;P <.001)。11例乳腺内复发的患者中有10例在未延迟治疗的组中(P =.57)。

结论

为进行化疗而延迟放疗不会影响局部控制。

相似文献

1
Effect of delayed radiation therapy on local control in breast conservation therapy.延迟放疗对保乳治疗中局部控制的影响。
Radiology. 1996 Sep;200(3):615-9. doi: 10.1148/radiology.200.3.8756905.
2
Interval between breast-conserving surgery and start of radiation therapy in early-stage breast cancer is not predictive of local recurrence: a single-institution experience.早期乳腺癌保乳手术后与放射治疗开始时间间隔不预测局部复发:单中心经验。
Clin Breast Cancer. 2011 Apr;11(2):114-20. doi: 10.1016/j.clbc.2011.03.004. Epub 2011 Apr 11.
3
Changes in management techniques and patterns of disease recurrence over time in patients with breast carcinoma treated with breast-conserving therapy at a single institution.在一家机构接受保乳治疗的乳腺癌患者中,管理技术的变化以及疾病复发模式随时间的变化情况。
Cancer. 2004 Aug 15;101(4):713-20. doi: 10.1002/cncr.20410.
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The effect of delaying adjuvant radiation treatment after conservative surgery for early breast cancer.早期乳腺癌保乳手术后延迟辅助放疗的效果。
Breast J. 2007 Nov-Dec;13(6):575-80. doi: 10.1111/j.1524-4741.2007.00511.x.
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Locoregional radiation therapy in patients with high-risk breast cancer receiving adjuvant chemotherapy: 20-year results of the British Columbia randomized trial.接受辅助化疗的高危乳腺癌患者的局部区域放射治疗:不列颠哥伦比亚省随机试验的20年结果。
J Natl Cancer Inst. 2005 Jan 19;97(2):116-26. doi: 10.1093/jnci/djh297.
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The effect of delaying radiation therapy for systemic chemotherapy on local-regional control in breast cancer.全身化疗后延迟放疗对乳腺癌局部区域控制的影响。
Breast Cancer Res Treat. 2004 Mar;84(2):161-71. doi: 10.1023/B:BREA.0000018414.36274.72.
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The sequencing of chemotherapy and radiation therapy after conservative surgery for early-stage breast cancer.早期乳腺癌保乳手术后化疗与放疗的顺序安排
N Engl J Med. 1996 May 23;334(21):1356-61. doi: 10.1056/NEJM199605233342102.
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Isolate local failure after breast-conserving treatment for early breast cancer, about 57 cases.早期乳腺癌保乳治疗后局部复发,约57例。
Cancer Radiother. 2004 Apr;8(2):95-107. doi: 10.1016/j.canrad.2004.01.002.
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[Locally advanced non inflammatory breast cancer treated by combined chemotherapy and preoperative irradiation: updated results in a series of 120 patients].[局部晚期非炎性乳腺癌的联合化疗及术前放疗治疗:120例患者的最新结果]
Cancer Radiother. 2004 Jun;8(3):155-67. doi: 10.1016/j.canrad.2004.01.001.
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Improving local control with breast-conserving therapy: a 27-year single-institution experience.保乳治疗改善局部控制:一项27年的单机构经验。
Cancer. 2005 Jul 1;104(1):20-9. doi: 10.1002/cncr.21121.

引用本文的文献

1
The optimal sequence of radiotherapy and chemotherapy in adjuvant treatment of breast cancer.乳腺癌辅助治疗中放疗与化疗的最佳顺序
Int Arch Med. 2011 Oct 16;4(1):35. doi: 10.1186/1755-7682-4-35.
2
Optimal sequence of implied modalities in the adjuvant setting of breast cancer treatment: an update on issues to consider.乳腺癌辅助治疗中隐含治疗方式的最佳顺序:需考虑问题的最新进展。
Oncologist. 2010;15(11):1169-78. doi: 10.1634/theoncologist.2010-0187. Epub 2010 Nov 1.
3
[Delays and treatment interruptions: difficulties in administering radiotherapy in an ideal time-period].
[延迟与治疗中断:在理想时间段内进行放射治疗的困难]
Clin Transl Oncol. 2005 Mar;7(2):47-54. doi: 10.1007/BF02710009.