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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6A
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pubmed:dateCreated |
1989-3-23
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pubmed:abstractText |
The efficacy of adjuvant treatment with tamoxifen was evaluated in protocol DBCG 77 C. Postmenopausal high risk patients (tumor greater than 5 cm, positive axillary nodes, or invasion to skin/fascia) were randomized after total mastectomy and axillary sampling to postoperative radiotherapy (control) or to radiotherapy plus treatment with tamoxifen (TAM), 30 mg daily for 1 year. A total of 1,716 patients entered the study. At 8 years of follow-up, (7 years median time of observation), we observed a significant increase of recurrence-free survival for the TAM treated group and a reduction in mortality, which is significant for patients less than 70 years of age. Retrospectively, an increased recurrence-free survival in TAM treated patients was significant in the following subgroups: tumor less than 5 cm, positive lymph nodes, anaplasia grade II and estrogen receptor level greater than 100 fmol/mg cytosol protein. In the subsequent trial (DBCG 82 C), 1,347 postmenopausal patients less than 70 years were randomized to one of the following 3 regimens: radiotherapy + tamoxifen, 30 mg daily for 1 year (TAM), TAM alone, or TAM + CMF (CMF i.v. day 1 every 4 weeks x 9). The survival is similar in the 3 groups at 4 years (2 years median time of observation).
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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 |
0284-186X
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
27
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
699-705
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pubmed:dateRevised |
2009-5-12
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pubmed:meshHeading |
pubmed-meshheading:3064775-Aged,
pubmed-meshheading:3064775-Breast Neoplasms,
pubmed-meshheading:3064775-Clinical Trials as Topic,
pubmed-meshheading:3064775-Combined Modality Therapy,
pubmed-meshheading:3064775-Female,
pubmed-meshheading:3064775-Humans,
pubmed-meshheading:3064775-Mastectomy, Simple,
pubmed-meshheading:3064775-Menopause,
pubmed-meshheading:3064775-Middle Aged,
pubmed-meshheading:3064775-Neoplasm Recurrence, Local,
pubmed-meshheading:3064775-Random Allocation,
pubmed-meshheading:3064775-Risk Factors,
pubmed-meshheading:3064775-Tamoxifen
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pubmed:year |
1988
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pubmed:articleTitle |
Adjuvant treatment of postmenopausal patients with high risk primary breast cancer. Results from the Danish adjuvant trials DBCG 77 C and DBCG 82 C.
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pubmed:affiliation |
Department of Oncology ONA, Finsen Institute, Rigshospitalet, Copenhagen, Denmark.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Randomized Controlled Trial
|