Conservation surgery and irradiation as an alternative to mastectomy in the treatment of clinically favorable breast cancer.

Abstract:

:The combination of conservation surgery and radiation therapy for early breast cancer is gaining acceptance as an alternative to radical mastectomy. This article reviews the results of randomized trials showing that there is no advantage to a radical mastectomy in patients with early breast cancer. In addition, the article will review multiple reports concerning the local and regional tumor control and survival of patients treated with conservation surgery and irradiation as well as a comparison of 1073 patients with TIS T1 T2 N0 N1 breast cancer treated at University of Texas (UT) M. D. Anderson Hospital between 1955 and 1980, of whom 345 were treated with conservation surgery and irradiation and 728 were treated with radical or modified radical mastectomy alone. The locoregional recurrence in the patients treated with an intact breast is 4.9%, and 5.6% in patients treated with radical or modified radical mastectomy. There is no significant difference in the 10-year disease-free survival rates between the two groups of patients. In addition, a comparison of 2467 patients with Stage I and Stage II breast cancer treated at the UT M. D. Anderson Hospital shows no significant difference in the incidence of consecutive second breast carcinoma as a result of the use of radiation therapy in the treatment of the first breast cancer.

journal_name

Cancer

journal_title

Cancer

authors

Montague ED,Ames FC,Schell SR,Romsdahl MM

doi

10.1002/1097-0142(19841201)54:2+<2668::aid-cncr282

subject

Has Abstract

pub_date

1984-12-01 00:00:00

pages

2668-72

issue

11 Suppl

eissn

0008-543X

issn

1097-0142

journal_volume

54

pub_type

临床试验,杂志文章,随机对照试验

相关文献

CANCER文献大全
  • Recurrence of early gastric cancer. Follow-up of 1475 patients and review of the Japanese literature.

    abstract:BACKGROUND:The outcome of surgical treatment for early gastric cancer (EGC) generally is considered to be satisfactory. Although a small percentage of patients experience disease recurrence, the absolute number of such instances is too small for assessment of risk factors. METHODS:The authors investigated the follow-u...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19931201)72:11<3174::aid-cncr282

    authors: Sano T,Sasako M,Kinoshita T,Maruyama K

    更新日期:1993-12-01 00:00:00

  • Evaluation of p16INK4a expression in ThinPrep cervical specimens with the CINtec p16INK4a assay: correlation with biopsy follow-up results.

    abstract:BACKGROUND:The aim of this study was to examine p16(INK4a) protein expression in ThinPrep (Cytyc Corporation, Marlborough, Mass) cervical specimens by using the CINtec p16(INK4a) Cytology Kit (Dako, Glostrup, Denmark). The ability of this assay to accurately identify underlying high-grade lesions was assessed by using ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.22580

    authors: Meyer JL,Hanlon DW,Andersen BT,Rasmussen OF,Bisgaard K

    更新日期:2007-04-25 00:00:00

  • Intestinal tumor and agmatine (decarboxylated arginine): low content in colon carcinoma tissue specimens and inhibitory effect on tumor cell proliferation in vitro.

    abstract:BACKGROUND:The polyamine system is a promising target for anticancer therapy. Ideally, an antineoplastic compound affecting this system should inhibit both ornithine decarboxylase and the polyamine transporter, and toxicity should be mild. Agmatine, decarboxylated L-arginine, appears to be such a compound. METHODS:Ade...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.20407

    authors: Molderings GJ,Kribben B,Heinen A,Schröder D,Brüss M,Göthert M

    更新日期:2004-08-15 00:00:00

  • A prospective study of immune responsiveness in human melanoma. I. Assessment of initial pretreatment status with stage of disease.

    abstract::The clinical findings in 262 patients with melanoma were correlated with an assessment of their cellular-mediated immunity by delayed-type hypersensitivity (DTH) skin tests, by lymphocyte blastogenesis, and by leukocyte enumerations. Patients with systemic metastases (stage IV) and those with evidence of tumor burden ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197806)41:6<2165::aid-cncr282041

    authors: Pritchard DJ,Ritts RE Jr,Taylor WF,Miller GC

    更新日期:1978-06-01 00:00:00

  • Acquired myeloperoxidase deficiency and recurrent infections in a patient with acute myelomonocytic leukemia.

    abstract::Acquired myeloperoxidase deficiency has been reported in several hematological malignancies. The clinical course of a patient with acute myelomonocytic leukemia is described which was characterized by staphylococcal infections prior to therapy and again during a period of relapse. Neutropenia was not a feature of thes...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197912)44:6<2244::aid-cncr282044

    authors: Kitahara M,Kushner JP

    更新日期:1979-12-01 00:00:00

  • Sequential identification of factors predicting distant relapse in breast cancer patients treated by conservative surgery.

    abstract:BACKGROUND AND METHODS:Predictors of distant relapse following conservative surgery for breast cancer were studied in a review of 425 women. Five steps of breast cancer patient management were defined in which increasing amounts of information, potentially relevant to prognosis for metastasis-free survival (MFS), were ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19930815)72:4<1261::aid-cncr2820

    authors: Tubiana-Hulin M,Le Doussal V,Hacene K,Rouëssé J,Brunet M

    更新日期:1993-08-15 00:00:00

  • Sites of primary malignancies in patients presenting with cerebral metastases. A review of 120 cases.

    abstract::A retrospective study is reported of 120 consecutive cases of patients presenting with brain metastases as the primary sign of their malignancy. Primary site was found in 62 patients (53 while alive and 9 at postmortem examination) and remained unknown in 58. Lung was the most frequent primary site (45% of known sites...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19850815)56:4<880::aid-cncr28205

    authors: Le Chevalier T,Smith FP,Caille P,Constans JP,Rouesse JG

    更新日期:1985-08-15 00:00:00

  • Low-molecular weight forms of cyclin E differentiate ovarian carcinoma from cells of mesothelial origin and are associated with poor survival in ovarian carcinoma.

    abstract:BACKGROUND:The authors recently reported on the role of cyclin E in differentiating ovarian/primary peritoneal carcinoma from malignant peritoneal mesothelioma using gene expression arrays. In the current study, they analyzed the expression of low-molecular weight (LMW) forms of cyclin E in ovarian carcinoma, malignant...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.22918

    authors: Davidson B,Skrede M,Silins I,Shih IeM,Trope CG,Flørenes VA

    更新日期:2007-09-15 00:00:00

  • Treatment of metastatic breast cancer with aminoglutethimide.

    abstract::Seventy-three women with metastatic breast cancer were treated with aminoglutethimide and dexamethasone. No complete responses occurred. Ten patients (16%) achieved partial responses (mean duration, 12 months). The proportions of patients responding by disease site were breast (50%), nodes (33%), skin (23%), bone (16%...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19810415)47:8<1954::aid-cncr2820

    authors: Asbury RF,Bakemeier RF,Fölsch E,McCune CS,Savlov E,Bennett JM

    更新日期:1981-04-15 00:00:00

  • Safety and feasibility of aerobic training on cardiopulmonary function and quality of life in postsurgical nonsmall cell lung cancer patients: a pilot study.

    abstract:BACKGROUND:A feasibility study examining the effects of supervised aerobic exercise training on cardiopulmonary and quality of life (QOL) endpoints among postsurgical nonsmall cell lung cancer (NSCLC) patients was conducted. METHODS:Using a single-group design, 20 patients with stage I-IIIB NSCLC performed 3 aerobic c...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23967

    authors: Jones LW,Eves ND,Peterson BL,Garst J,Crawford J,West MJ,Mabe S,Harpole D,Kraus WE,Douglas PS

    更新日期:2008-12-15 00:00:00

  • Liver pathology following hepatic arterial infusion chemotherapy. Hepatic toxicity with FUDR.

    abstract::The authors reviewed the liver histopathology and the clinical features of eight patients with liver metastases from colorectal cancer who were treated by hepatic arterial infusion chemotherapy (HAIC) via an implantable pump (Infusaid). Before HAIC, these patients had no evidence of hepatitis, and results of liver bio...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19860815)58:4<855::aid-cncr28205

    authors: Doria MI Jr,Shepard KV,Levin B,Riddell RH

    更新日期:1986-08-15 00:00:00

  • Severe pneumococcal infection in patients with neoplastic disease.

    abstract::A study of pneumococcal bacteremia in 56 patients with neoplastic disease from January 1, 1972 to June 30, 1980 is presented and compared to an earlier study between 1955 and 1971. Patients at highest risk were those with Hodgkin's disease who had been splenectomized, multiple myeloma and chronic lymphocytic leukemia ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19830415)51:8<1546::aid-cncr2820

    authors: Chou MY,Brown AE,Blevins A,Armstrong D

    更新日期:1983-04-15 00:00:00

  • Acute myocardial infarction with normal coronary arteriogram after mantle field radiation therapy for Hodgkin's disease.

    abstract::A case of an acute myocardial infarction occurring in a 19-year-old woman, 27 months after mantle radiotherapy for Stage II-A Hodgkin's disease is described. The coronary arteriogram demonstrated patent and normal coronary arteries, but the echocardiogram revealed pericarditis. The clinical course was further complica...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19830815)52:4<637::aid-cncr28205

    authors: Yahalom J,Hasin Y,Fuks Z

    更新日期:1983-08-15 00:00:00

  • Molecular targeting and pharmacogenomics in the management of advanced bladder cancer.

    abstract::Bladder cancer is one of the malignancies for which considerable information is available regarding molecular pathogenesis and genetic predictors of natural history, as well as response to treatment. Loss of heterozygosity of chromosome 9 appears to be essential to the genesis of superficial bladder cancer, and mutati...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/cncr.11281

    authors: Raghavan D

    更新日期:2003-04-15 00:00:00

  • Using data to effectively manage a national screening program.

    abstract::The National Breast and Cervical Cancer Early Detection Program (NBCCEDP) of the Centers for Disease Control and Prevention (CDC) is implemented through cooperative agreements with state health departments, US territories, and tribal health organizations (grantees). Grantees typically contract with clinicians and othe...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.28821

    authors: Yancy B,Royalty JE,Marroulis S,Mattingly C,Benard VB,DeGroff A

    更新日期:2014-08-15 00:00:00

  • Longitudinal analysis of quality-of-life outcomes in children during treatment for acute lymphoblastic leukemia: A report from the Children's Oncology Group AALL0932 trial.

    abstract:BACKGROUND:Children with average-risk acute lymphoblastic leukemia (AR-ALL) face many challenges that can adversely affect their quality of life (QOL). However, to the authors' knowledge, patterns and predictors of QOL impairment during therapy have not been well characterized to date. METHODS:Patients with AR-ALL who...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.31085

    authors: Zheng DJ,Lu X,Schore RJ,Balsamo L,Devidas M,Winick NJ,Raetz EA,Loh ML,Carroll WL,Sung L,Hunger SP,Angiolillo AL,Kadan-Lottick NS

    更新日期:2018-02-01 00:00:00

  • Plasma sex hormone binding globulin in patients with prostatic carcinoma.

    abstract::The concentrations of sex hormone binding globulin (SHBG) were measured in the plasma of 56 men, who were 47 to 85 years of age, by time-resolved immunofluorometric assay with a monoclonal antibody. Twenty-five of the men had untreated carcinoma of the prostate and 17 had untreated prostatic hyperplasia. There were 14...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19900715)66:2<354::aid-cncr28206

    authors: Grasso M,Buonaguidi A,Mondina R,Borsellino G,Lania C,Banfi G,Rigatti P

    更新日期:1990-07-15 00:00:00

  • Treatment trade-offs in myeloma: A survey of consecutive patients about contemporary maintenance strategies.

    abstract:BACKGROUND:Two randomized trials have demonstrated improved progression-free survival (PFS) with lenalidomide maintenance after autologous transplantation for multiple myeloma (MM). Overall survival (OS) results are conflicting, and quality-of-life (QOL) data are lacking. The authors conducted a systematic survey of pa...

    journal_title:Cancer

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/cncr.28340

    authors: Burnette BL,Dispenzieri A,Kumar S,Harris AM,Sloan JA,Tilburt JC,Kyle RA,Rajkumar SV

    更新日期:2013-12-15 00:00:00

  • Ultrastructure of unusual cytoplasmic inclusions in a case of myeloproliferative disorder.

    abstract::An unusual case of myeloproliferative disorder in which mature and immature myeloid cells were found to contain unusual cytoplasmic inclusions is reported. By light microscopy, these inclusions could be observed with Wright's stain. By electron microscopy they appeared to consist of a pale, finely granular material wi...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197711)40:5<2111::aid-cncr282040

    authors: Coppola A,O'Connor J

    更新日期:1977-11-01 00:00:00

  • Retrospective cohort study evaluating the impact of intraperitoneal morcellation on outcomes of localized uterine leiomyosarcoma.

    abstract:BACKGROUND:Uterine leiomyosarcoma (ULMS) is identified in 0.1% to 0.2% of hysterectomy specimens of presumed leiomyoma. To date, there is no preoperative technique that reliably differentiates ULMS from uterine leiomyoma. Increasing use of minimally invasive approaches for the management of leiomyomas may result in ina...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.28844

    authors: George S,Barysauskas C,Serrano C,Oduyebo T,Rauh-Hain JA,Del Carmen MG,Demetri GD,Muto MG

    更新日期:2014-10-15 00:00:00

  • Acute and delayed nausea and emesis control in pediatric oncology patients.

    abstract:BACKGROUND:To the authors' knowledge there is little information available regarding the effectiveness of standard antiemetic therapy among cancer patients who receive emetogenic chemotherapy in clinical practice, especially in the pediatric population. The current study was undertaken to determine the effectiveness of...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.21631

    authors: Holdsworth MT,Raisch DW,Frost J

    更新日期:2006-02-15 00:00:00

  • Combined BCG and irradiation treatment of skin metastases originating from malignant melanoma.

    abstract::Treatment with BCG (Bacillus Calmette-Guérin) followed by irradiation was attempted to improve response to therapy by cutaneous metastases from malignant skin melanomas. Both agents were applied in low doses, known to cause minimal side effects. Nineteen patients, divided into three groups, entered the clinical trial....

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19820915)50:6<1100::aid-cncr2820

    authors: Plesnicar S,Rudolf Z

    更新日期:1982-09-15 00:00:00

  • A renal cell carcinoma neoplastic antigen detectable by immunohistochemistry is defined by a murine monoclonal antibody.

    abstract::BALB/c mice were hyperimmunized with ACHN (ATCC CRL 1611, American Type Culture Collection, Rockville, Maryland), a stable in vitro cell line derived from a malignant pleural effusion in a 22-year-old man with renal cell carcinoma. The hyperimmune spleen cells were fused with NS-1 murine myeloma cells using polyethyle...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19870615)59:12<2031::aid-cncr282

    authors: Kochevar J

    更新日期:1987-06-15 00:00:00

  • Costs of cancer along the care continuum: What we can expect based on recent literature.

    abstract:BACKGROUND:Cancer costs should be discussed by patients and providers, but information is not readily available. Results from recently published studies (in the last 5 years) on direct and indirect cancer costs may help guide these discussions. METHODS:The authors reviewed studies published between 2013 and 2017 that ...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/cncr.31643

    authors: Pisu M,Henrikson NB,Banegas MP,Yabroff KR

    更新日期:2018-11-01 00:00:00

  • Serous borderline tumors of the ovary with noninvasive peritoneal implants.

    abstract:BACKGROUND:The authors conducted this study to update their experience with patients who have ovarian serous borderline tumors with noninvasive peritoneal implants, with the objectives of gaining additional insight into the biologic behavior of these tumors and understanding better the effects of postoperative treatmen...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19981115)83:10<2157::aid-c

    authors: Gershenson DM,Silva EG,Tortolero-Luna G,Levenback C,Morris M,Tornos C

    更新日期:1998-11-15 00:00:00

  • Targeted radiotherapy with [(90)Y]-SMT 487 in mice bearing human nonsmall cell lung tumor xenografts induced to express human somatostatin receptor subtype 2 with an adenoviral vector.

    abstract:BACKGROUND:Novel approaches to increasing the therapeutic efficacy of targeted radiotherapy of cancer are required. One strategy to achieve this goal is to induce high-level expression of a receptor on the surface of tumor cells that can be targeted with a radiolabeled peptide. The objectives of this study were to 1) i...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.10300

    authors: Rogers BE,Zinn KR,Lin CY,Chaudhuri TR,Buchsbaum DJ

    更新日期:2002-02-15 00:00:00

  • Selecting initial therapy for prostate cancer. Radiation therapy perspective.

    abstract::External-beam irradiation of prostatic cancer was introduced at Stanford in 1956. The program has sought to determine the following: whether prostatic carcinoma can be cured by external beam radiation therapy, with what frequency this can be accomplished, which patients are best suited for irradiation, and what techni...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19870801)60:3+<521::aid-cncr2820

    authors: Bagshaw MA,Ray GR,Cox RS

    更新日期:1987-08-01 00:00:00

  • Trends, patterns, and outcomes in the management of malignant colonic polyps in the general population of the United States.

    abstract:BACKGROUND:Colonoscopic screening has increased detection of malignant colonic polyps (MPs). The goal of this study was to analyze trends and patterns in the surgical treatment of MPs and to assess outcomes as measured by lymph node retrieval and patient survival. METHODS:The Surveillance, Epidemiology, and End Result...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.25657

    authors: Wasif N,Etzioni D,Maggard MA,Tomlinson JS,Ko CY

    更新日期:2011-03-01 00:00:00

  • Serum immunoglobulin levels in patients with breast cancer.

    abstract::Serum immunoglobulin levels IgA, IgG, and IgM have been estimated in 92 patients with breast cancer and 50 control patients, 40 of whom had benign disease of the breast. In patients with breast cancer, IgA was significantly raised at all stages and IgG was significantly reduced, but the two abnormalities were not nece...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197507)36:1<221::aid-cncr2820360

    authors: Roberts MM,Bathgate EM,Stevenson A

    更新日期:1975-07-01 00:00:00

  • Soft-tissue sarcomas in children and adolescents with neurofibromatosis type 1.

    abstract:BACKGROUND:Patients affected by neurofibromatosis type 1 (NF1) are at higher risk of developing soft-tissue sarcomas (STS) than the general population. The clinical findings and outcome in 43 children and adolescents with NF1 treated for STS in the Italian protocols between 1988 and 2004 are reported. METHODS:The stud...

    journal_title:Cancer

    pub_type: 杂志文章,多中心研究

    doi:10.1002/cncr.22533

    authors: Ferrari A,Bisogno G,Macaluso A,Casanova M,D'Angelo P,Pierani P,Zanetti I,Alaggio R,Cecchetto G,Carli M

    更新日期:2007-04-01 00:00:00