作者: J. G. M. Klijn , P. M. J. J. Berns , W. L. J. van Putten , M. Bontenbal , J. Alexieva-Figusch
DOI: 10.1007/978-3-642-84745-5_11
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摘要: Present research in the field of clinical breast cancer is focused on new diagnostic methods and development treatment modalities [25]. Adjuvant systemic therapy with chemotherapeutic drugs or endocrine has been shown to result a 25% reduction annual odds death, meaning an absolute decrease death 4% 10% nodenegative node-positive patients, respectively [13] (reprinted part this volume). However, it must be concluded that majority patients primary will overtreated cases adjuvant therapy. Both efficacy cost effectiveness are presently important subjects debate [20, 27]. Identification high-risk low-risk therefore major issue. For large series classical modern prognostic factors (Table 1) have reported [18, 23, 28, 29]. These concern patient characteristics parameters determined blood tumor characteristics. Most these evaluated respect relapse-free survival (RFS) overall (OS), but very few response hormonal chemotherapy metastatic disease. also for recurrent disease (macrometastases) predictors clinically reaching decisions concerning type