Management of high-risk node-positive breast cancer by standard-dose chemotherapy and loco-regional radiotherapy

A. Langlands*, V. Ahern, O. Ung, J. Boyages

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

One-hundred, thirty-six women, aged up to 76 years, with high-risk breast cancer were treated with postoperative radiotherapy and 9 cycles of adjuvant chemotherapy in standard doses. Treatment-related toxicity was mild. At a median follow-up of 7.3 years, 39.6% are disease-free. At 5 and 10 years overall survival was 55% and 34% respectively; disease-free survival was 39% and 33% respectively. Eighteen patients (13.2%) developed loco-regional recurrence, which was uncontrolled in four. When compared to series treated with adjuvant chemotherapy, but without radiotherapy, there are apparent survival gains of 10-15% at 5 and 10 years. These results in both pre- and post-menopausal patients compare favourably with results of high-dose chemotherapy and stem-cell rescue in much more highly selected patients.

Original languageEnglish
Pages (from-to)195-199
Number of pages5
JournalBreast
Volume8
Issue number4
DOIs
Publication statusPublished - Aug 1999
Externally publishedYes

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