Objection to postoperative radiation therapy in breast cancer with one to three lymph nodes involvements

被引:9
作者
Ishikawa, Takashi [1 ]
Kaise, Hiroshi [1 ]
Yamada, Kimito [1 ]
Hosonaga, Mari [1 ]
Chishima, Takashi [2 ]
Narui, Kazutaka [3 ]
Yamada, Akimitsu [3 ]
Sugae, Sadatoshi [4 ]
Ichikawa, Yasushi [4 ]
Ota, Mitsuyoshi [5 ]
Nozaki, Miyako [6 ]
Mikami, Ryuji [7 ]
Tokuuye, Koichi [7 ]
机构
[1] Tokyo Med Univ, Dept Breast Oncol & Surg, Shinjuku Ku, 6-7-1 Nishishinjuku, Tokyo 1600023, Japan
[2] Yokohama Rosai Hosp, Dept Breast Surg, Kohoku Ku, 3211 Kozukuecho, Yokohama, Kanagawa 2220036, Japan
[3] Yokohama City Univ, Med Ctr, Dept Breast & Thyroid Surg, Yokohama, Kanagawa 2320024, Japan
[4] Yokohama City Univ, Sch Med, Dept Clin Oncol & Gastrointestinal Surg, Yokohama, Kanagawa 2320024, Japan
[5] Yokohama City Univ, Med Ctr, Dept Gastroenterol, Yokohama, Kanagawa 2320024, Japan
[6] Dokkyo Med Univ, Koshigaya Hosp, Dept Radiol, 2-1-50 Minamikoshigaya, Koshigaya, Saitama 3438555, Japan
[7] Tokyo Med Univ, Dept Radiol, Shinjuku Ku, 6-7-1 Nishishinjuku, Tokyo 1600023, Japan
关键词
Breast cancer; Postoperative radiation therapy; Clinical trial; POSTMASTECTOMY RADIOTHERAPY; MASTECTOMY; RISK; IRRADIATION; RECURRENCE; TRIALS; WOMEN;
D O I
10.1007/s12282-016-0749-5
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
My arguments regarding postmastectomy radiotherapy (PMRT) for this case are based on the following 4 reasons: (1) high rate of local recurrence in the no PMRT group in the Early Breast Cancer Trialists' Collaborative Group meta-analysis on which the present guideline is based, (2) stage migration by sentinel node biopsy, (3) possible adverse events of radiotherapy, and (4) problems on extrapolation of data from western countries.
引用
收藏
页码:496 / 501
页数:6
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