Ten-year results comparing mastectomy to excision and radiation therapy for ductal carcinoma in situ of the breast

Autor: Melvin J. Silverstein, Parvis Gamagami, William J. Colburn, A. Barth, Eugene D. Gierson, David N. Poller, James R. Waisman
Rok vydání: 1995
Předmět:
Zdroj: European Journal of Cancer. 31:1425-1427
ISSN: 0959-8049
DOI: 10.1016/0959-8049(95)00283-o
Popis: 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.
Databáze: OpenAIRE