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Combined Chemotherapy and Preoperative Irradiation for Locally Advanced Noninflammatory Breast Cancer: Updated Results in a Series of 120 Patients by Delphine Lerouge; Emmanuel Touboul; Jean-Pierre Lefranc; Catherine Genestie; Laurence Moureau-Zabotto; Jean Blondon is a Medicine article available to read on EtoBox.
What is Combined Chemotherapy and Preoperative Irradiation for Locally Advanced Noninflammatory Breast Cancer: Updated Results in a Series of 120 Patients about?
Purpose: To evaluate our updated data concerning survival and locoregional control in a prospective study of locally advanced noninflammatory breast cancer (LABC) after primary chemotherapy (CT) followed by external preoperative irradiation (RT). Methods and Materials: Between 1982 and 1998, 120 patients (75 Stage IIIA, 41 Stage IIIB, and 4 Stage IIIC according to AJCC staging system 2002) were treated by four courses of induction CT with anthracyclinecontaining combinations followed by preoperative RT (45 Gy to the breast and nodal areas) and a fifth course of CT. Three different locoregional approaches were proposed depending on tumor characteristics and tumor response. After completion of local therapy, all patients received a sixth course of CT and a maintenance adjuvant CT regimen without anthracycline. The median follow-up from the beginning of treatment was 140 months. Results: Mastectomy and axillary dissection were performed in 49 patients (with residual tumor larger than 3 cm in diameter or located behind the nipple or with bifocal tumor), and conservative treatment in 71 patients (39 achieved clinical complete response or partial response >90% and received additional rad
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- Author
- Delphine Lerouge; Emmanuel Touboul; Jean-Pierre Lefranc; Catherine Genestie; Laurence Moureau-Zabotto; Jean Blondon
- Publisher
- Elsevier BV
- Published
- 2004
- Language
- EN
- Field
- Medicine (Health Sciences)