Is chemotherapy effective in reducing the local failure rate in patients with operable breast cancer?

Abstract:

:To evaluate the role of chemotherapy in local control of primary breast cancer, the incidence of local failure was evaluated in 768 patients treated with surgery and adjuvant, combination chemotherapy that contained fluorouracil, doxorubicin, and cyclophosphamide (FAC) at our institute between 1974 and 1982. Of these patients, 429 received postoperative irradiation (XRT) before adjuvant therapy. A group of 178 historical control patients had mastectomies and received irradiation after surgery without chemotherapy. The rates of locoregional recurrence alone in the three groups were as follows: FAC, 12%; FAC plus XRT, 5%; and XRT, 10%. The difference in recurrence rates between the FAC group and the FAC plus XRT subgroup was significant (P less than 0.01). Local failure rates were evaluated by stage and nodal status; patients with Stage III disease and those with four or more disease-positive nodes had a higher incidence of local failure than did patients with Stage II disease or those who had one to three positive nodes. Systemic chemotherapy and local therapies resulted in 50% local control at the time of locoregional recurrence in patients treated with FAC, whereas local control was achieved in 18% of patients with local recurrence in the XRT subgroups. Overall life-time local control of disease was similar whether irradiation was administered initially (in the period after operation) or at the time of local recurrence. Irradiation after mastectomy remains an integral part of a combined modality approach in selected groups of patients.

journal_name

Cancer

journal_title

Cancer

authors

Buzdar AU,McNeese MD,Hortobagyi GN,Smith TL,Kau S,Fraschini G,Hug V,Ellerbroek N,Holmes FA,Ames F

doi

10.1002/1097-0142(19900201)65:3<394::aid-cncr28206

subject

Has Abstract,Author List Incomplete

pub_date

1990-02-01 00:00:00

pages

394-9

issue

3

eissn

0008-543X

issn

1097-0142

journal_volume

65

pub_type

杂志文章

相关文献

CANCER文献大全
  • Chemotherapy of malignant thymoma. Case report and review of the literature.

    abstract::The authors report the case of a patient with malignant thymoma unresponsive to combination chemotherapy (cyclophosphamide, doxorubicin, vincristine, and prednisone [CHOP] and cisplatin/VP-16) who subsequently achieved clinical response to continuous daily prednisone. A review of the literature indicates that predniso...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19860315)57:6<1101::aid-cncr2820

    authors: Hu E,Levine J

    更新日期:1986-03-15 00:00:00

  • Phase 1b study of the mammalian target of rapamycin inhibitor sirolimus in combination with nanoparticle albumin-bound paclitaxel in patients with advanced solid tumors.

    abstract:BACKGROUND:The optimal weekly oral dose of sirolimus and intravenous nanoparticle albumin-bound paclitaxel (nab-paclitaxel) were evaluated. METHODS:A phase 1b study was performed to evaluate escalating doses of oral sirolimus (5-60 mg) on days 2, 9, and 16 with intravenous nab-paclitaxel (100 mg/m(2) ) on days 1, 8, a...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.29254

    authors: Abu-Khalaf MM,Baumgart MA,Gettinger SN,Doddamane I,Tuck DP,Hou S,Chen N,Sullivan C,Lezon-Geyda K,Zelterman D,Hatzis C,Deshpande H,Digiovanna MP,Azodi M,Schwartz PE,Harris LN

    更新日期:2015-06-01 00:00:00

  • Pulmonary rhabdomyosarcoma with isolated small bowel metastasis. A report of a case with immunohistochemical and ultrastructural studies.

    abstract::A unique case of pulmonary rhabdomyosarcoma with an isolated, symptomatic small bowel metastasis is presented. The tumor affected the middle lobe, and was treated with a right pneumonectomy. Eleven months after the operation, an isolated small bowel metastasis, which produced intestinal obstruction, was resected. The ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19840501)53:9<1948::aid-cncr2820

    authors: Avagnina A,Elsner B,De Marco L,Bracco AN,Nazar J,Pavlovsky H

    更新日期:1984-05-01 00:00:00

  • Experimental radioimmunotherapy. A brief overview.

    abstract::This overview highlights the use of experimental models in selecting monoclonal antibodies and radiolabels with promise for clinical radioimmunotherapy, discusses some of the experimental therapeutic approaches being studies in these models, and reviews some of the limitations of animal models caused by the allometric...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19940201)73:3+<989::aid-cncr2820

    authors: Wahl RL

    更新日期:1994-02-01 00:00:00

  • Stomach cancer survival in the United States by race and stage (2001-2009): Findings from the CONCORD-2 study.

    abstract:BACKGROUND:Stomach cancer was a leading cause of cancer-related deaths early in the 20th century and has steadily declined over the last century in the United States. Although incidence and death rates are now low, stomach cancer remains an important cause of morbidity and mortality in black, Asian and Pacific Islander...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.30881

    authors: Jim MA,Pinheiro PS,Carreira H,Espey DK,Wiggins CL,Weir HK

    更新日期:2017-12-15 00:00:00

  • Acral erythema secondary to high-dose cytosine arabinoside with pain worsened by cyclosporine infusions.

    abstract::Acral erythema after high-dose cytosine arabinoside (Ara-C) has been described as a painful, sharply demarcated, and intense erythema of the palms and soles. This phenomenon occurred and is described in three out of three allogeneic bone marrow transplant (BMT) recipients who received high-dose Ara-C and total-body ir...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19890615)63:12<2482::aid-cncr282

    authors: Kampmann KK,Graves T,Rogers SD

    更新日期:1989-06-15 00:00:00

  • A phase 2 study of estramustine, docetaxel, and bevacizumab in men with castrate-resistant prostate cancer: results from Cancer and Leukemia Group B Study 90006.

    abstract:BACKGROUND:The use of docetaxel prolongs survival for patients with castrate-resistant prostate cancer (CRPC). Inhibition of vascular endothelial growth factor (VEGF) with bevacizumab may further enhance the antitumor effect of docetaxel and estramustine in patients with CRPC. METHODS:This cooperative group trial enro...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究

    doi:10.1002/cncr.25421

    authors: Picus J,Halabi S,Kelly WK,Vogelzang NJ,Whang YE,Kaplan EB,Stadler WM,Small EJ,Cancer and Leukemia Group B.

    更新日期:2011-02-01 00:00:00

  • Focal acinar cell dysplasia in human pancreas.

    abstract::A series of 108 prospectively collected human pancreata were evaluated histologically for the presence of acinar cell and ductal lesions. Foci of dysplastic acinar cells were present in 44% of the series. Some of the focal acinar cell abnormalities were similar to atypical acinar cell nodules which have been described...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19800201)45:3<534::aid-cncr28204

    authors: Longnecker DS,Shinozuka H,Dekker A

    更新日期:1980-02-01 00:00:00

  • Predictors of radiation response in lung cancer. A clinico-pathobiological analysis.

    abstract::From February 1972 to July 1975, 200 lung cancer patients were seen at the University of Rochester Cancer Center's Division of Radiation Oncology; 40% had squamous cell tumors and 87.5% had advanced disease localized to the thorax. Of the 160 patients who completed treatment, 101 were treated with continuous therapy s...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197606)37:6<2636::aid-cncr282037

    authors: Salazar OM,Rubin P,Brown JC,Feldstein ML,Keller BE

    更新日期:1976-06-01 00:00:00

  • Trastuzumab emtansine with or without pertuzumab versus trastuzumab with taxane for human epidermal growth factor receptor 2-positive advanced breast cancer: Final results from MARIANNE.

    abstract:BACKGROUND:In the phase 3 MARIANNE trial, trastuzumab emtansine (T-DM1) with or without pertuzumab showed noninferior progression-free survival and better tolerability than trastuzumab plus a taxane (HT) for the first-line treatment of human epidermal growth factor receptor 2 (HER2)-positive advanced breast cancer. Thi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.32392

    authors: Perez EA,Barrios C,Eiermann W,Toi M,Im YH,Conte P,Martin M,Pienkowski T,Pivot XB,Burris HA 3rd,Petersen JA,De Haas S,Hoersch S,Patre M,Ellis PA

    更新日期:2019-11-15 00:00:00

  • Polycythemia and steroid overproduction in a gonadotropin-secreting seminoma of the testis.

    abstract::While investigating the cause of mild polycythemia in a young man, a testicular seminoma was discovered with unusual and tumor-dependent features: an absolute polycythemia with high plasma erythropoietin (EPO) levels, an overproduction of estradiol and testosterone, and a dramatic Leydig cell hyperplasia surrounding t...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19911115)68:10<2224::aid-cncr282

    authors: Reman O,Reznik Y,Casadevall N,Lacombe C,Troussard X,Mandard JC,Leporrier M,Mahoudeau J

    更新日期:1991-11-15 00:00:00

  • Oncologic imaging. Staging and follow-up of renal and adrenal carcinoma.

    abstract::Computed tomography (CT) has emerged from the 1980s to play a dominant role in the pretreatment staging of renal and adrenal carcinomas. For detection, definition (staging), and determination of resectability or recurrence, CT with intravenous contrast enhancement, and more recently, magnetic resonance imaging (MRI) w...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19910215)67:4+<1199::aid-cncr282

    authors: McClennan BL

    更新日期:1991-02-15 00:00:00

  • Is screening for breast cancer cost-effective?

    abstract::As the toll taken by breast cancer continues unabated, screening programs are widely perceived to play a critical role to improve diagnosis and successful treatment. Breast cancer screening programs are increasingly promoted to women; however, the economic implications of mass screening is a subject of much health pol...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19920401)69:7+<1957::aid-cncr282

    authors: Mushlin AI,Fintor L

    更新日期:1992-04-01 00:00:00

  • Thymoma. Histologic subclassification is an independent prognostic factor.

    abstract:BACKGROUND:Several histologic classifications of thymomas have been proposed, and attempts have been made to correlate the different histologic subtypes to clinical behavior and prognosis. Recently, Marino and Müller-Hermelink and Kirchner et al. proposed a new morphologic classification of thymomas based on the resemb...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19940715)74:2<606::aid-cncr28207

    authors: Quintanilla-Martinez L,Wilkins EW Jr,Choi N,Efird J,Hug E,Harris NL

    更新日期:1994-07-15 00:00:00

  • Carcinoembryonic antigen (CEA) levels in benign gastrointestinal disease states.

    abstract::Elevated circulating CEA levels occur in patients with benign gastrointestinal and hepatic disorders. These are usually less than 10 ng/ml. Of clinical importance is the influence of liver disease on the interpretation of CEA. At least 50% of patients with severe benign hepatic disease have elevated CEA levels, most o...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(197809)42:3+<1412::aid-cncr28204

    authors: Loewenstein MS,Zamcheck N

    更新日期:1978-09-01 00:00:00

  • A phase 2 study of bevacizumab with cisplatin plus intensity-modulated radiation therapy for stage III/IVB head and neck squamous cell cancer.

    abstract:BACKGROUND:For patients with stage III through IVB head and neck squamous cell carcinoma (HNSCC), concurrent high-dose cisplatin plus radiation therapy is a widely accepted standard of care. HNSCC tumors that express high levels of vascular endothelial growth factor have been associated with a worse prognosis, and beva...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.27498

    authors: Fury MG,Lee NY,Sherman E,Lisa D,Kelly K,Lipson B,Carlson D,Stambuk H,Haque S,Shen R,Kraus D,Shah J,Pfister DG

    更新日期:2012-10-15 00:00:00

  • Efficacy of prolonged intermittent therapy with combined 5-FU and methyl-CCNU following resection for gastric carcinoma. A Veterans Administration Surgical Oncology, Group report.

    abstract::This prospective evaluation of 5-fluorouracil (5-FU) and methyl-CCNU administered in combination to patients with surgery for histologically proved gastric adenocarcinoma is based upon 312 patients randomized between August 1974 and May 1980. Patients were stratified into three categories of resectability, (1) complet...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/1097-0142(19830915)52:6<1105::aid-cncr2820

    authors: Higgins GA,Amadeo JH,Smith DE,Humphrey EW,Keehn RJ

    更新日期:1983-09-15 00:00:00

  • Prospective comparison of [18F]fluorodeoxyglucose positron emission tomography with conventional assessment by computed tomography scans and serum tumor markers for the evaluation of residual masses in patients with nonseminomatous germ cell carcinoma.

    abstract:BACKGROUND:To assess the ability of [(18)F]fluorodeoxyglucose (F-18 FDG) positron emission tomography (PET) to predict the viability of residual masses after chemotherapy in patients with metastatic nonseminomatous germ cell tumors (GCT), PET results were compared in a blinded analysis with computed tomography (CT) sca...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.10494

    authors: Kollmannsberger C,Oechsle K,Dohmen BM,Pfannenberg A,Bares R,Claussen CD,Kanz L,Bokemeyer C

    更新日期:2002-05-01 00:00:00

  • Disease and treatment characteristics do not predict symptom occurrence profiles in oncology outpatients receiving chemotherapy.

    abstract:BACKGROUND:A large amount of interindividual variability exists in the occurrence of symptoms in patients receiving chemotherapy (CTX). The purposes of the current study, which was performed in a sample of 582 oncology outpatients who were receiving CTX, were to identify subgroups of patients based on their distinct ex...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.28699

    authors: Miaskowski C,Cooper BA,Melisko M,Chen LM,Mastick J,West C,Paul SM,Dunn LB,Schmidt BL,Hammer M,Cartwright F,Wright F,Langford DJ,Lee K,Aouizerat BE

    更新日期:2014-08-01 00:00:00

  • Infiltration of dendritic cells in relation to tumor invasion and lymph node metastasis in human gastric cancer.

    abstract::The infiltration of dendritic cells determined in 210 patients with gastric carcinoma was investigated from the standpoint of tumor invasion, lymph node metastasis, and prognosis. Dendritic cell infiltration was graded as "slight" and "marked." The 39% frequency in the marked infiltration group at the mucosal stage di...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19901101)66:9<2012::aid-cncr2820

    authors: Tsujitani S,Kakeji Y,Watanabe A,Kohnoe S,Maehara Y,Sugimachi K

    更新日期:1990-11-01 00:00:00

  • Phase II trial of recombinant human interleukin-2 and interferon-alpha-2a: implications for the treatment of patients with metastatic melanoma.

    abstract:BACKGROUND:An intensive in-patient Phase II study of continuous infusion recombinant human interleukin-2 (rhIL-2) 3 X 10(6) Roche units (9 MIU/m2)/day plus intramuscular injection of interferon-alpha-2a (rIFN-alpha-2a) 5 x 10(6) U/m2/day, four consecutive days per week, was performed to determine whether four consecuti...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:

    authors: Eton O,Talpaz M,Lee KH,Rothberg JM,Brell JM,Benjamin RS

    更新日期:1996-03-01 00:00:00

  • Utilization of a human tumor cloning system to monitor for bone marrow involvement in children with non-hodgkin's lymphoma.

    abstract::The objective of this study was to evaluate the sensitivity of two methods for determining bone marrow involvement with non-Hodgkin's lymphoma. These methods were histologic review of bone marrow aspirates, and clot sections versus in vitro growth of lymphoma colonies on soft agar. Forty-two bone marrow aspirates were...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19840415)53:8<1724::aid-cncr2820

    authors: Smith SD,Kisker S,Bush L,Trueworthy RC

    更新日期:1984-04-15 00:00:00

  • Colon carcinoma in children and adolescents. A review of 30 cases.

    abstract::Carcinoma of the large bowel is rare in persons under the age of 30, and generally presents with advanced stages of disease. From 1964 to 1984, 30 patients presented with nonfamilial large bowel malignancies. Seventeen patients were male, and 13 female (age range, 8-25 years). In 15 patients the primary was in the rig...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19850315)55:6<1322::aid-cncr2820

    authors: Rao BN,Pratt CB,Fleming ID,Dilawari RA,Green AA,Austin BA

    更新日期:1985-03-15 00:00:00

  • Patterns of relapse of N2 nonsmall-cell lung carcinoma patients treated with preoperative chemotherapy: should prophylactic cranial irradiation be reconsidered?

    abstract:BACKGROUND:Although it induces a relevant reduction in the risk of both visceral metastases and locoregional recurrences, the combination of chemotherapy and surgery only marginally improves the survival of patients with Stage IIIA(N2) (International Union Against Cancer staging and classification system) nonsmall-cell...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Andre F,Grunenwald D,Pujol JL,Girard P,Dujon A,Brouchet L,Brichon PY,Westeel V,Le Chevalier T

    更新日期:2001-06-15 00:00:00

  • Helicobacter pylori and primary gastric lymphoma. A histopathologic and immunohistochemical analysis of 237 patients.

    abstract:BACKGROUND:Few previous articles have analyzed the relation between infection with Helicobacter pylori (H. pylori) and primary gastric lymphoma in a large number of patients. METHODS:Resected and biopsied specimens from 237 patients with primary gastric lymphoma were investigated for H. pylori using hematoxylin and eo...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Nakamura S,Yao T,Aoyagi K,Iida M,Fujishima M,Tsuneyoshi M

    更新日期:1997-01-01 00:00:00

  • Prognostic implications of DNA histogram, DNA content, and histologic changes of regional lymph nodes in patients with lung cancer.

    abstract::Forty-six cases of resected lung cancer, including 20 cases at Stages I and II and 26 cases at Stage III (N2), were subdivided into two groups: a good prognosis group with a longer survival period and a poor prognosis group in which the patients died earlier of the cancer. From paraffin-embedded lymph node tissues of ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19910301)67:5<1370::aid-cncr2820

    authors: Ogawa J,Iwazaki M,Tsurumi T,Inoue H,Shohtsu A

    更新日期:1991-03-01 00:00:00

  • A VM 26-based regimen for patients with previously untreated non-Hodgkin lymphoma. Prolonged disease-free survival in patients younger than 60 years of age: a phase II trial of the eastern Cooperative Oncology Group.

    abstract:BACKGROUND:The epidophyllotoxin VM 26 has been shown to have single-agent activity in patients with diffuse aggressive lymphoma. In an attempt to determine its activity in combination with other agents known to be effective in lymphoma, a Phase II trial of a novel chemotherapy regimen was conducted. METHODS:Forty-two ...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:10.1002/1097-0142(19930115)71:2<464::aid-cncr28207

    authors: Gordon LI,Andersen J,Gregory S,Mazza J,Chervenick P,Hahn RG,O'Connell MJ

    更新日期:1993-01-15 00:00:00

  • The effect of combined androgen blockade on bone turnover and bone mineral densities in men treated for prostate carcinoma: longitudinal evaluation and response to intermittent cyclic etidronate therapy.

    abstract:BACKGROUND:Androgen receptor blocking agents have become an established form of therapy for men with disseminated prostate carcinoma. The purpose of this study was to evaluate markers of bone turnover and to measure bone mineral densities (BMD) in men with disseminated prostate carcinoma treated with combined androgen ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Diamond T,Campbell J,Bryant C,Lynch W

    更新日期:1998-10-15 00:00:00

  • Induction of apoptosis and suppression of clonogenicity of ovarian carcinoma cells with estrogen mustard.

    abstract:BACKGROUND:This study was conducted to evaluate whether estramustine (estrogen mustard [EM]) is a promising alternative in the treatment of patients with epithelial ovarian carcinoma (OVCA). EM is a microtubule-associated protein (MAP) specific antimicrotubule agent with low toxicity. METHODS:The authors investigated ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19990615)85:12<2616::aid-c

    authors: Chen Z,Fadiel A,Jia JF,Sakamoto H,Carbone R,Naftolin F

    更新日期:1999-06-15 00:00:00

  • Adjuvant therapy of osteosarcoma--A Phase II trial: Southwest Oncology Group study 9139.

    abstract:BACKGROUND:The objective of this study was to estimate the time to treatment failure and survival rate of the three-drug combination of doxorubicin, cisplatin, and ifosfamide as primary and postoperative, adjunctive treatment for teenagers and adults with osteosarcoma (OS). METHODS:Sixty-three eligible patients with n...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,多中心研究

    doi:10.1002/cncr.20021

    authors: Zalupski MM,Rankin C,Ryan JR,Lucas DR,Muler J,Lanier KS,Budd GT,Biermann JS,Meyers FJ,Antman K

    更新日期:2004-02-15 00:00:00