Source:http://linkedlifedata.com/resource/pubmed/id/12196717
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2002-8-27
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pubmed:abstractText |
Several recent trials have demonstrated that neoadjuvant chemotherapy can allow more patients to successfully undergo breast-conserving treatment (BCT), and does not confer a survival disadvantage compared with standard adjuvant chemotherapy. In addition, the pathological response of primary breast tumors to neoadjuvant chemotherapy appears to be a surrogate marker for patient outcome. In our series, during the period from May 1995 to December 2000, 86 patients with tumors between 3.1 and 6.0 cm in diameter received epirubicin-based neoadjuvant chemotherapy. There were 55 (64.0%) responders and ultimately 64 patients (74.4%) were treated with BCT. The margin positive rate was 14.1%(9/64), similar to the rate after BCT for early-stage breast cancers, the largest diameter of which was smaller than 3 cm. At a median follow-up of 30 months, only 3 patients in the BCT group have developed local recurrence; the local recurrence rate appears to be comparable to that after BCT for early stage breast cancers. Long term follow-up is required, however, to establish whether this procedure is a safe alternative to mastectomy for patients with large breast cancers.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:issn |
1340-6868
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
9
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
20-5
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pubmed:dateRevised |
2005-11-16
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pubmed:meshHeading |
pubmed-meshheading:12196717-Antineoplastic Agents,
pubmed-meshheading:12196717-Breast Neoplasms,
pubmed-meshheading:12196717-Carcinoma, Ductal, Breast,
pubmed-meshheading:12196717-Carcinoma, Intraductal, Noninfiltrating,
pubmed-meshheading:12196717-Epirubicin,
pubmed-meshheading:12196717-Female,
pubmed-meshheading:12196717-Humans,
pubmed-meshheading:12196717-Mastectomy, Segmental,
pubmed-meshheading:12196717-Neoadjuvant Therapy,
pubmed-meshheading:12196717-Neoplasm Recurrence, Local
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pubmed:year |
2002
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pubmed:articleTitle |
Breast-conserving treatment after neoadjuvant chemotherapy in large breast cancer.
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pubmed:affiliation |
Department of Surgery, Osaka Medical Center for Cancer and Cardiovascular Diseases, 1-3-3 Nakamichi, Higashinari-ku, Japan.
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pubmed:publicationType |
Journal Article,
Review
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