Source:http://linkedlifedata.com/resource/pubmed/id/12565981
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
2003-2-4
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pubmed:abstractText |
We have examined the outcome of older patients with operable breast cancer treated in a randomised trial by either standard surgery or less extensive surgery and tamoxifen. There were 236 participants aged >/=70 years, randomised to either modified radical mastectomy MRM (n=120) or wide local excision (WLE) and tamoxifen (T) 20 mg daily (n=116). Survival curves were estimated using the Kaplan-Meier method and multivariate analyses were performed using Cox's proportional hazards model. Endpoints were survival and time to first relapse or progression, loco-regional progression, time to distant progression and progression-free survival. No significant difference was seen in terms of progression-free survival, but there were significantly more loco-regional relapses in the WLE+T group. In contrast, there were more distant metastases in the MRM group, but with a similar overall survival in both groups. The results of this trial give cautious support for the use of WLE+T for selected older women.
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pubmed:grant | |
pubmed:commentsCorrections | |
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:month |
Feb
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pubmed:issn |
0959-8049
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
39
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
300-8
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pubmed:dateRevised |
2007-11-14
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pubmed:meshHeading |
pubmed-meshheading:12565981-Age Factors,
pubmed-meshheading:12565981-Aged,
pubmed-meshheading:12565981-Aged, 80 and over,
pubmed-meshheading:12565981-Antineoplastic Agents, Hormonal,
pubmed-meshheading:12565981-Breast Neoplasms,
pubmed-meshheading:12565981-Combined Modality Therapy,
pubmed-meshheading:12565981-Disease Progression,
pubmed-meshheading:12565981-Disease-Free Survival,
pubmed-meshheading:12565981-Female,
pubmed-meshheading:12565981-Humans,
pubmed-meshheading:12565981-Mastectomy, Radical,
pubmed-meshheading:12565981-Multivariate Analysis,
pubmed-meshheading:12565981-Neoplasm Metastasis,
pubmed-meshheading:12565981-Neoplasm Recurrence, Local,
pubmed-meshheading:12565981-Risk Factors,
pubmed-meshheading:12565981-Salvage Therapy,
pubmed-meshheading:12565981-Tamoxifen
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pubmed:year |
2003
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pubmed:articleTitle |
Treatment of operable breast cancer in the elderly: a randomised clinical trial EORTC 10850 comparing modified radical mastectomy with tumorectomy plus tamoxifen.
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pubmed:affiliation |
Hedley Atkins Breast Unit, Guy's Hospital, SE1 9RT, London, UK. ian.fentiman@cancer.org.uk
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Research Support, U.S. Gov't, P.H.S.,
Randomized Controlled Trial
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