Ductal carcinoma in situ of the breast with close or focally involved margins following breast-conserving surgery: treatment with reexcision or radiotherapy with increased dosage.
作者： Amélie Monteau , Brigitte Sigal-Zafrani , Youlia M. Kirova , Virginie Fourchotte , Marc A. Bollet
DOI: 10.1016/J.IJROBP.2008.12.014
关键词:
摘要: Purpose Following breast-conserving surgery for DCIS, reexcision before radiotherapy is recommended when margins are close or involved. We investigated whether an additional radiation dose could replace reexcision. Methods selected 208 women with DCIS of the breast treated between 1992 and 2002 who had either ( Results Median follow-up was 89 months. age 53 years 7 patients less than 41. Involved were frequent in non group reexcised (50% vs. 74%, p = 0.0019). All other clinical histological features comparable. whole-breast 50 Gy. total doses to tumour bed 67 Gy (range, 45–77) 60 46–74), respectively Conclusion In carefully
osti.gov
elsevier.com
sci-hub.se 参考文章(34)
David R. Cox, Regression Models and Life-Tables Springer Series in Statistics. ,vol. 34, pp. 527- 541 ,(1992) , 10.1007/978-1-4612-4380-9_37
Ivo Olivotto, Mark Levine, Clinical practice guidelines for the care and treatment of breast cancer: the management of ductal carcinoma in situ (summary of the 2001 update) Canadian Medical Association Journal. ,vol. 165, pp. 912- 913 ,(2001)
Alain Fourquet, François Campana, Jean-Claude Rosenwald, Jacques R. Vilcoq, Breast irradiation in the lateral decubitus position: technique of the Institut Curie. Radiotherapy and Oncology. ,vol. 22, pp. 261- 265 ,(1991) , 10.1016/0167-8140(91)90160-I
E. L. Kaplan, Paul Meier, Nonparametric Estimation from Incomplete Observations Springer Series in Statistics. ,vol. 53, pp. 319- 337 ,(1992) , 10.1007/978-1-4612-4380-9_25
Alberto Luini, Joel Rososchansky, Giovanna Gatti, Stefano Zurrida, Pietro Caldarella, Giuseppe Viale, Gabriela Rosali dos Santos, Antonio Frasson, The surgical margin status after breast-conserving surgery: discussion of an open issue. Breast Cancer Research and Treatment. ,vol. 113, pp. 397- 402 ,(2009) , 10.1007/S10549-008-9929-0
Frank A. Vicini, Abram Recht, Age at Diagnosis and Outcome for Women With Ductal Carcinoma-In-Situ of the Breast: A Critical Review of the Literature Journal of Clinical Oncology. ,vol. 20, pp. 2736- 2744 ,(2002) , 10.1200/JCO.2002.07.137
Steven J DiBiase, Lydia T Komarnicky, Dwight E Heron, Gordon F Schwartz, Carl M Mansfield, Influence of radiation dose on positive surgical margins in women undergoing breast conservation therapy International Journal of Radiation Oncology Biology Physics. ,vol. 53, pp. 680- 686 ,(2002) , 10.1016/S0360-3016(02)02761-X
Virginia L. Ernster, John Barclay, Karla Kerlikowske, Heather Wilkie, Rachel Ballard-Barbash, Mortality among women with ductal carcinoma in situ of the breast in the population-based surveillance, epidemiology and end results program JAMA Internal Medicine. ,vol. 160, pp. 953- 958 ,(2000) , 10.1001/ARCHINTE.160.7.953
Larry L. Kestin, Neal S. Goldstein, Mario D. Lacerna, Mamtha Balasubramaniam, Alvaro A. Martinez, Murray Rebner, Jane Pettinga, Robert C. Frazier, Frank A. Vicini, Factors associated with local recurrence of mammographically detected ductal carcinoma in situ in patients given breast-conserving therapy. Cancer. ,vol. 88, pp. 596- 607 ,(2000) , 10.1002/(SICI)1097-0142(20000201)88:3<596::AID-CNCR16>3.0.CO;2-N
Robert J. Rosser, Consensus conference on the classification of ductal carcinoma in Situ Cancer. ,vol. 82, pp. 2293- 2294 ,(1998) , 10.1002/(SICI)1097-0142(19980601)82:11<2293::AID-CNCR29>3.0.CO;2-O