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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
4
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pubmed:dateCreated |
1992-5-5
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pubmed:abstractText |
The extent of excision performed for mammary carcinoma prior to radiotherapy as a risk factor for local recurrence was studied in 503 patients. Three hundred twenty-three tumors (62%) were excised with a minimal rim of tissue (tumorectomy). One hundred forty-two patients (27%) had wide excision and 56 (11%) had quadrantectomy. Tumor stage, size, and radiation treatment were similar for all groups. Forty-one percent of tumorectomies had involved margins, and only 14% and 7% were involved in the wide excision and quadrantectomy groups, respectively. Local failure was 15% for tumorectomy, 7% for wide excision, and 5% for quadrantectomy. In T1 ductal carcinoma, only 4% of those with excisions greater than 5 cm had recurrences. Lesser excision had 20% recurrence. Extent of excision before radiotherapy is an important risk factor for recurrence. Failure was inversely proportional to the amount of breast tissue resected. Narrow excision should be discouraged since a larger tumor burden remains that may not be sterilized by radiation.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
AIM
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pubmed:status |
MEDLINE
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pubmed:month |
Apr
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pubmed:issn |
0004-0010
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
127
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
411-5
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:1558493-Adult,
pubmed-meshheading:1558493-Breast Neoplasms,
pubmed-meshheading:1558493-Combined Modality Therapy,
pubmed-meshheading:1558493-Female,
pubmed-meshheading:1558493-Follow-Up Studies,
pubmed-meshheading:1558493-Humans,
pubmed-meshheading:1558493-Incidence,
pubmed-meshheading:1558493-Mastectomy, Segmental,
pubmed-meshheading:1558493-Middle Aged,
pubmed-meshheading:1558493-Neoplasm Recurrence, Local,
pubmed-meshheading:1558493-Retrospective Studies,
pubmed-meshheading:1558493-Time Factors
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pubmed:year |
1992
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pubmed:articleTitle |
Breast cancer. Importance of adequate surgical excision prior to radiotherapy in the local control of breast cancer in patients treated conservatively.
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pubmed:affiliation |
Department of Radiotherapy, Albert Einstein College of Medicine, New York, NY.
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pubmed:publicationType |
Journal Article
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