Results in patients with breast cancer treated by radical mastectomy and postoperative irradiation with no adjuvant chemotherapy.

Abstract:

:In 1963 an electron beam became available, making irradiation of the chest wall technically easy. In addition to peripheral lymphatic irradiation in patients with positive axillary nodes and/or the tumor in the inner quadrants or centrally located, patients with tumor larger than 5 cm or with grave signs and/or a significant incidence of positive axillary nodes received chest wall irradiation. None of the patients has received elective chemotherapy. Disease-free survival rates at ten years are 54% for the overall group, 79% for the patients with negative nodes, 44% for patients with positive nodes, 61% for patients with 1-3 positive nodes, and 33% for patients with four or more positive nodes. The incidence of peripheral lymphatic failures is low as well as the incidence of failures on the chest wall in the patients having had chest wall irradiation. With the availability of electron beam and adjustments in doses, complications are nonexistent. The incidence of treatment failures, local-regional, or distant, that have appeared by ten years are compared with the incidence of failures that were experienced by the placebo patients in the clinical trial of the NSABP of thio-TEPA versus placebo. The clearly lesser incidence of treatment failures in the U.T.M.D. Anderson Hospital patients either suggests that postoperative irradiation may have survival benefits or that the data of the NSABP series are not representative of all series.

journal_name

Cancer

journal_title

Cancer

authors

Tapley ND,Spanos WJ Jr,Fletcher GH,Montague ED,Schell S,Oswald MJ

doi

10.1002/1097-0142(19820315)49:6<1316::aid-cncr2820

subject

Has Abstract

pub_date

1982-03-15 00:00:00

pages

1316-9

issue

6

eissn

0008-543X

issn

1097-0142

journal_volume

49

pub_type

临床试验,杂志文章

相关文献

CANCER文献大全
  • Production of extracellular matrix-degrading proteinases by primary cultures of human epithelial ovarian carcinoma cells.

    abstract:BACKGROUND:The authors analyzed the secretion of extracellular matrix-degrading proteinases, including urinary-type plasminogen activator (u-PA), matrix metalloproteinase-2 (MMP-2, gelatinase A), and MMP-9 (gelatinase B), by short term primary cultures of epithelial ovarian carcinoma cells derived from primary ovarian ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19971015)80:8<1457::aid-cn

    authors: Fishman DA,Bafetti LM,Banionis S,Kearns AS,Chilukuri K,Stack MS

    更新日期:1997-10-15 00:00:00

  • VAB-3 combination chemotherapy of metastatic testicular cancer.

    abstract::The initial response and long-term follow-up of 74 evaluable patients who received combination chemotherapy for metastatic nonseminomatous testicular cancer are reported. Patients were treated with a protocol (VAB-3) including vinblastine, actinomycin-D, bleomycin, and cis-dichlorodiammine platinum (DDP). VAB-3 alone ...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:10.1002/1097-0142(19810815)48:4<888::aid-cncr28204

    authors: Reynolds TF,Vugrin D,Cvitkovic E,Cheng E,Braun DW Jr,O'Hehir MA,Dukeman ME,Whitmore WF Jr,Golbey RB

    更新日期:1981-08-15 00:00:00

  • A review of Canadian health care and cancer care systems.

    abstract::Canada is a westernized, market-economy nation with a publicly funded health care and cancer control system and has health indices reflective of a high-resource economy. Provision of health services is in accord with the Canada Health Act and is implemented through federal, provincial, and territorial relations wherei...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.26053

    authors: Sutcliffe SB

    更新日期:2011-05-15 00:00:00

  • Clinical outcomes and survival surrogacy studies of prostate-specific antigen declines following enzalutamide in men with metastatic castration-resistant prostate cancer previously treated with docetaxel.

    abstract:BACKGROUND:In the AFFIRM trial, enzalutamide significantly increased overall survival (OS) for men with metastatic castration-resistant prostate cancer (mCRPC) after chemotherapy versus placebo and significantly decreased prostate-specific antigen (PSA) levels. The goal of this post hoc analysis was to associate levels...

    journal_title:Cancer

    pub_type: 杂志文章,随机对照试验

    doi:10.1002/cncr.30587

    authors: Armstrong AJ,Saad F,Phung,Dmuchowski C,Shore ND,Fizazi K,Hirmand M,Forer D,Scher HI,Bono J

    更新日期:2017-06-15 00:00:00

  • Flow cytometric DNA analysis is useful in detecting multiple genetic alterations in squamous cell carcinoma of the esophagus.

    abstract:BACKGROUND:Although flow cytometric DNA analysis has been recognized to be a useful prognostic indicator for patients with squamous cell carcinoma of the esophagus, the biologic significance of DNA aneuploidy remains to be elucidated. METHODS:Twenty-five patients with squamous cell carcinoma of the esophagus who under...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章

    doi:

    authors: Watanabe M,Kuwano H,Tanaka S,Toh Y,Sadanaga N,Sugimachi K

    更新日期:1999-06-01 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

  • Choriocarcinoma: expression of tumor- and trophoblast-associated antigens in patients with low chorionic gonadotropin excretion.

    abstract::The circulating levels of four tumor- or trophoblast-associated antigens were measured by specific radioimmunoassays in 11 patients with gestational choriocarcinoma. The estimations were carried out at the time when the urinary gonadotropin (hCG) excretion was low or negligible. Gonadotropin, measured as the hCG beta-...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197611)38:5<2065::aid-cncr282038

    authors: Seppälä M,Rutanen EM,Ranta T,Aho I,Nieminen U,Unnérus HA,Saksela E

    更新日期:1976-11-01 00:00:00

  • Cancer risk in male veterans utilizing the Veterans Administration medical system.

    abstract::Age-specific incidence curves, cumulative rates, and relative risks were estimated for selected malignancies among male veterans utilizing the Veterans Administration (VA) medical system during 1970 to 1982. Relative risks for malignant tumors of the lung, bronchus, larynx, oral cavity, and esophagus in males using VA...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19890901)64:5<1160::aid-cncr2820

    authors: Harris RE,Hebert JR,Wynder EL

    更新日期:1989-09-01 00:00:00

  • Ultrastructure of a primary fibrosarcoma of the human thyroid gland.

    abstract::A primary fibrosarcoma of the thyroid occurring in a patient with a nodular goiter is described. Light microscopy showed interwoven bundles of spindle cells admixed with plump ovoid cells, and foci of multinucleated giant cells. Remnants of distorted thyroid follicles were found only at the periphery of the tumor. "Tr...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197908)44:2<584::aid-cncr2820440

    authors: Shin WY,Aftalion B,Hotchkiss E,Schenkman R,Berkman J

    更新日期:1979-08-01 00:00:00

  • Obesity and screening for breast, cervical, and colorectal cancer in women: a review.

    abstract::The literature examining obesity as a barrier to screening for breast, cervical, and colorectal cancer has not been evaluated systematically. With the increasing prevalence of obesity and its impact on cancer incidence and mortality, it is important to determine whether obesity is a barrier to screening so that cancer...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/cncr.23408

    authors: Cohen SS,Palmieri RT,Nyante SJ,Koralek DO,Kim S,Bradshaw P,Olshan AF

    更新日期:2008-05-01 00:00:00

  • Parathyroid carcinoma of the oxyphil cell type. A report of two cases, light and electron microscopic study.

    abstract::Parathyroid adenomas are subdivided into chief cell and oxyphil cell variants. However, the parathyroid carcinomas described thus far have been only of the chief cell type. Two cases of oxyphil cell carcinoma of the parathyroid gland are reported, with light and electron microscopic study. The patients presented appar...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19850401)55:7<1482::aid-cncr2820

    authors: Obara T,Fujimoto Y,Yamaguchi K,Takanashi R,Kino I,Sasaki Y

    更新日期:1985-04-01 00:00:00

  • Long-term results of a prospective study on the treatment of medulloblastoma in adults.

    abstract:BACKGROUND:Because medulloblastoma (MB) is rare in adults, the few studies on this condition have been retrospective, and the follow-up has tended to be short. Furthermore, the different therapeutic strategies used in these patients has made it difficult to assess survival rates and prognostic factors. METHODS:In 1989...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.23003

    authors: Brandes AA,Franceschi E,Tosoni A,Blatt V,Ermani M

    更新日期:2007-11-01 00:00:00

  • Halothane, surgery, immunosuppression and artificial pulmonary metastases.

    abstract::C57B1/6 mice were given intravenous tumor cells on day O. Mice were then given either a brief exposure to halothane anesthesia or given halothane and then underwent a hind limb amputation. Immune testing was done at varying time intervals and correlated with the development of artificial pulmonary metastases. The effe...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197803)41:3<827::aid-cncr2820410

    authors: Lundy J,Lovett EJ 3rd,Hamilton S,Conran P

    更新日期:1978-03-01 00:00:00

  • A randomized clinical trial of energy conservation for patients with cancer-related fatigue.

    abstract:BACKGROUND:The efficacy of energy conservation and activity management (ECAM) for fatigue reduction and maintenance of functional performance has never been evaluated in adults with cancer who are undergoing treatment. METHODS:A randomized clinical trial compared an ECAM intervention with a control intervention focuse...

    journal_title:Cancer

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:10.1002/cncr.20111

    authors: Barsevick AM,Dudley W,Beck S,Sweeney C,Whitmer K,Nail L

    更新日期:2004-03-15 00:00:00

  • Possible effects of non-HLA antibodies in common typing sera on HLA antigen frequency data in leukemia.

    abstract::Selective adsorption of several common "monospecific" HLA typing sera with HLA typed platelets, purified B lymphocytes, cultured lymphoid cells, or lymphocytes from patients with active chronic lymphocytic leukemia demonstrated that many of these sera contain antibodies to non-HLA antigens. Antibodies were detected to...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197706)39:6<2348::aid-cncr282039

    authors: Pollack MS,DuBois D

    更新日期:1977-06-01 00:00:00

  • High dose tumor necrosis factor-alpha and melphalan administered via isolated limb perfusion for advanced limb soft tissue sarcoma results in a >90% response rate and limb preservation.

    abstract:BACKGROUND:Recombinant tumor necrosis factor-alpha (rTNF-alpha) is a highly potential antineoplastic agent. However, its systemic administration in humans has resulted in a life-threatening septic shock-like syndrome, and its use has been abandoned. The administration of high dose rTNF-alpha and melphalan via isolated ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/(sici)1097-0142(19970315)79:6<1129::aid-cn

    authors: Gutman M,Inbar M,Lev-Shlush D,Abu-Abid S,Mozes M,Chaitchik S,Meller I,Klausner JM

    更新日期:1997-03-15 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

  • Systematic pelvic and aortic lymphadenectomy in elderly gynecologic oncologic patients.

    abstract:BACKGROUND:Retroperitoneal lymph node dissection is a fundamental step in the surgical management of patients with pelvic gynecologic malignancies, but its applicability to geriatric patients is controversial. The objective of this study was to evaluate whether pelvic and aortic lymphadenectomy in elderly patients with...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(20011115)92:10<2562::aid-cncr160

    authors: Giannice R,Susini T,Ferrandina G,Poerio A,Margariti PA,Carminati R,Marana E,Mancuso S,Scambia G

    更新日期:2001-11-15 00:00:00

  • Changes associated with the development of resistance to imatinib (STI571) in two leukemia cell lines expressing p210 Bcr/Abl protein.

    abstract:BACKGROUND:Although various mechanisms have been recognized as being associated with the development of resistance to imatinib mesylate in vitro and in clinical situations, their relative significance and contributions remain poorly understood, as is the sequence of events leading to the selection of the resistant phen...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.20131

    authors: Scappini B,Gatto S,Onida F,Ricci C,Divoky V,Wierda WG,Andreeff M,Dong L,Hayes K,Verstovsek S,Kantarjian HM,Beran M

    更新日期:2004-04-01 00:00:00

  • Favorable prognosis after late relapse of Hodgkin's disease.

    abstract:BACKGROUND:Most relapses of Hodgkin's disease (HD) occur within the first 2 years after diagnosis, but they may develop after a longer observation period. The aim of this study was to define the incidence, clinical course, and prognostic factors for late relapse (LR) of Hodgkin's disease. For this purpose, the authors ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:

    authors: Garcia-Carbonero R,Paz-Ares L,Arcediano A,Lahuerta J,Bartolome A,Cortes-Funes H

    更新日期:1998-08-01 00:00:00

  • Impact of radiation and chemotherapy on risk of dental abnormalities: a report from the Childhood Cancer Survivor Study.

    abstract:BACKGROUND:The current study was performed to describe frequencies and risk factors of altered oral health and odontogenesis in childhood cancer survivors. METHODS:In total, 9308 survivors who were diagnosed between 1970 and 1986 and 2951 siblings from the Childhood Cancer Survivor Study completed a survey that contai...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.24670

    authors: Kaste SC,Goodman P,Leisenring W,Stovall M,Hayashi RJ,Yeazel M,Beiraghi S,Hudson MM,Sklar CA,Robison LL,Baker KS

    更新日期:2009-12-15 00:00:00

  • Malignant peritoneal mesothelioma after remote abdominal radiation.

    abstract::Peritoneal mesothelioma in a 61-year-old man, occurred 26 years after abdominal radiotherapy for a testicular seminoma. The patient had no history of asbestos exposure. After asbestos, radiation is the second most frequent defined cause of mesothelioma in North America, but the number of well-documented cases is small...

    journal_title:Cancer

    pub_type: 杂志文章,评审

    doi:10.1002/1097-0142(19880515)61:10<2019::aid-cncr282

    authors: Gilks B,Hegedus C,Freeman H,Fratkin L,Churg A

    更新日期:1988-05-15 00:00:00

  • Maturation-induction of tumor cells using a human colon carcinoma model.

    abstract::The establishment of a maturation-induction model using human colon cancer cells as targets is reported. Two colon carcinoma cell lines were established from human tumors; one line was heterogeneous and was cloned into two distant subpopulations. Cells from these lines and clones and cells from an established human co...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(19800315)45:5+<1178::aid-cncr282

    authors: Dexter DL,Hager JC

    更新日期:1980-03-15 00:00:00

  • The clinical significance of large cells in bone marrow in patients with chronic lymphocytic leukemia.

    abstract:BACKGROUND:Patients with chronic lymphocytic leukemia (CLL) that transforms to Richter syndrome (RS) frequently show atypical lymphocytes in bone marrow; however, a diagnosis of RS requires confirmation of the presence of sheets of large cells in bone marrow or lymph nodes. METHODS:In this study, the authors evaluated...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.20251

    authors: Ma Y,Mansour A,Bekele BN,Zhou X,Keating MJ,O'Brien S,Giles FJ,Albitar M

    更新日期:2004-05-15 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

  • Long-term surgical outcomes of temporal lobe epilepsy associated with low-grade brain tumors.

    abstract:BACKGROUND:Tumor-related temporal lobe epilepsy (TLE) has a high likelihood of medical intractability and requires surgical treatment. The aims of this study were to analyze the long-term surgical outcomes of and to present appropriate surgical strategies for tumor-related TLE. METHODS:The clinical data of 87 consecut...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.24666

    authors: Phi JH,Kim SK,Cho BK,Lee SY,Park SY,Park SJ,Lee SK,Kim KJ,Chung CK

    更新日期:2009-12-15 00:00:00

  • Prognostic significance of treatment-induced pathologic necrosis in extremity and truncal soft tissue sarcoma after neoadjuvant chemoradiotherapy.

    abstract:BACKGROUND:Histologic response to chemotherapy has been shown to be an independent prognostic factor in patients with osteosarcoma and Ewing sarcoma. However, in patients with soft tissue sarcoma (STS), the prognostic impact of histologic response to chemotherapy is less clear. In the current study, the authors sought ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.28945

    authors: Mullen JT,Hornicek FJ,Harmon DC,Raskin KA,Chen YL,Szymonifka J,Yeap BY,Choy E,DeLaney TF,Nielsen GP

    更新日期:2014-12-01 00:00:00

  • The equivalence and difference between the English and Chinese versions of two major, cancer-specific, health-related quality-of-life questionnaires.

    abstract:BACKGROUND:English and Chinese are two of the most widely used primary languages in the world. Patients in many cancer centers have a variety of ethnic backgrounds and primary languages. The comparability of version 4 of the English and Chinese versions of the Functional Assessment of Cancer Therapy-General (FACT-G) an...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.20681

    authors: Cheung YB,Thumboo J,Goh C,Khoo KS,Che W,Wee J

    更新日期:2004-12-15 00:00:00

  • Clonal divergence and genetic heterogeneity in clear cell renal cell carcinomas with sarcomatoid transformation.

    abstract:BACKGROUND:Approximately 5% of clear cell renal cell carcinomas contain components with sarcomatoid differentiation. It has been suggested that the sarcomatoid elements arise from the clear cell tumors as a consequence of clonal expansions of neoplastic cells with progressively more genetic alterations. Analysis of the...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/cncr.21288

    authors: Jones TD,Eble JN,Wang M,Maclennan GT,Jain S,Cheng L

    更新日期:2005-09-15 00:00:00

  • 5-Fluorouracil, adriamycin, and mitomycin-C (FAM) chemotherapy for adenocarcinoma of the lung.

    abstract::Twenty-five patients with advanced measurable adenocarcinoma of the lung were treated with combination chemotherapy consisting of 5-fluorouracil, adriamycin, and mitomycin-C (FAM). Objective response (1CR, 8PR) was obtained in 36% of patients. The median duration of response was 7.0 months and the median survival for ...

    journal_title:Cancer

    pub_type: 杂志文章

    doi:10.1002/1097-0142(197904)43:4<1183::aid-cncr282043

    authors: Butler TP,MacDonald JS,Smith FP,Smith LF,Woolley PV,Schein PS

    更新日期:1979-04-01 00:00:00