Erschienen in:
01.01.2015 | Special Feature
Japan Breast Cancer Society clinical practice guideline for surgical treatment of breast cancer
verfasst von:
Yoshifumi Komoike, Masafumi Inokuchi, Toshikazu Itoh, Kaoru Kitamura, Goro Kutomi, Takehiko Sakai, Hiromitsu Jinno, Noriaki Wada, Shozo Ohsumi, Hirofumi Mukai
Erschienen in:
Breast Cancer
|
Ausgabe 1/2015
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Excerpt
From 1972 to 1989, 6 randomized controlled trials (RCT) of breast-conserving surgery followed by radiotherapy and radical mastectomy were performed. The two groups did not significantly differ in long-term survival rate after 20 years [
1,
2]. Breast-conserving therapy is now a standard of care for Stage I and II breast cancer. As for ductal carcinoma in situ (DCIS), no RCTs compared breast-conserving therapy with mastectomy, but many published case series, reviews and meta-analyses showed good local control rates and high overall survival (OS) results [
3]. Most Stage 0–II breast cancers are candidates for breast-conserving therapy, but as the EBCTCG’s meta-analysis showed that local recurrence adversely affected survival rates [
4], caution is warranted regarding indication or contraindication for breast-conservation therapy and extent of resection. …