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Fifteen-year results of breast-conserving surgery and definitive breast irradiation for the treatment of ductal carcinoma in situ of the breast.
Abstract
PURPOSE: To determine the 15-year outcome for women with ductal carcinoma in situ (DCIS, intraductal carcinoma) of the breast treated with breast-conserving surgery followed by definitive breast irradiation. PATIENTS AND METHODS: An analysis was performed of 270 intraductal breast carcinomas in 268 women from 10 institutions in Europe and the United States. In all patients, breast-conserving surgery included complete gross excision of the primary tumor followed by definitive breast irradiation. When performed, pathologic axillary lymph node staging was node-negative (n=86). The median follow-up time was 10.3 years (range, 0.9 to 26.8). RESULTS: The 15-year actuarial overall survival rate was 87%, and the 15-year actuarial cause-specific survival rate was 96%. The 15-year actuarial rate of freedom from distant metastases was 96%. There were 45 local recurrences in the treated breast, and the 15-year actuarial rate of local failure was 19%. The median time to local failure was 5.2 years (range, 1.4 to 16.8). A number of clinical and pathologic parameters were evaluated for correlation with local failure, and none were predictive for local failure (all P > or = .15). CONCLUSION: The results from the present study demonstrate high rates of overall survival, cause-specific survival, and freedom from distant metastases following the treatment of DCIS of the breast using breast-conserving surgery and definitive breast irradiation. These results support the use of breast-conserving surgery and definitive breast irradiation for the treatment of DCIS of the breast.
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Cited by
Veronesi, U., Cascinelli, N., Mariani, L., Greco, M., Saccozzi, R., Luini, A., Aguilar, M., & Marubini, E. (2002) · New England Journal of Medicine · doi:10.1056/nejmoa020989 · Cited by 4,450
Ductal Carcinoma in Situ of the Breast
Burstein, H. J., Polyak, K., Wong, J. S., Lester, S. C., & Kaelin, C. M. (2004) · New England Journal of Medicine · doi:10.1056/nejmra031301 · Cited by 759
Oncoplastic Techniques Allow Extensive Resections for Breast-Conserving Therapy of Breast Carcinomas
Clough, K. B., Lewis, J. S., Couturaud, B., Fitoussi, A., Nos, C., & Falcou, M.-C. (2003) · Annals of Surgery · doi:10.1097/00000658-200301000-00005 · Cited by 608
Ductal Carcinoma In situ and the Emergence of Diversity during Breast Cancer Evolution
Allred, D. C., Wu, Y., Mao, S., Nagtegaal, I. D., Lee, S., Perou, C. M., Mohsin, S. K., O'Connell, P., Tsimelzon, A., & Medina, D. (2008) · Clinical Cancer Research · doi:10.1158/1078-0432.ccr-07-1127 · Cited by 285
Metadata
- Authors
- Solin, L. J., Kurtz, J., Fourquet, A., Amalric, R., Recht, A., Bornstein, B. A., Kuske, R., Taylor, M., Barrett, W., Fowble, B., Haffty, B., Schultz, D. J., Yeh, I. T., McCormick, B., & McNeese, M.
- Venue
- Journal of Clinical Oncology
- Published
- 1996-03
- Volume
- 14
- Issue
- 3
- Pages
- 754-763
- ISSN
- 0732-183X (ISSN-L)
- 1527-7755
- OpenAlex
- W1888033822
- Cited by
- 362
- References
- 0
- FWCI
- 9.87
- Type
- journal article
- Language
- en
- Open access
- closed
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- The paper
- Solin, L. J., Kurtz, J., Fourquet, A., Amalric, R., Recht, A., Bornstein, B. A., Kuske, R., Taylor, M., Barrett, W., Fowble, B., Haffty, B., Schultz, D. J., Yeh, I. T., McCormick, B., & McNeese, M. (1996). Fifteen-year results of breast-conserving surgery and definitive breast irradiation for the treatment of ductal carcinoma in situ of the breast. Journal of Clinical Oncology. https://doi.org/10.1200/jco.1996.14.3.754
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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