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Biotech / Medical : Sugen (SUGN) -- Ignore unavailable to you. Want to Upgrade?


To: gao seng who wrote (520)8/8/1999 8:48:00 PM
From: gao seng  Read Replies (1) | Respond to of 550
 
Yes, I haven't given up on my research. Radiation seems to be
conducive to metastases. This is not radiation bashing, but a clue
in the race to find a cure for cancer. This data assumes the mass is
not invasive, but there is really no way of knowing for certain.

Outcome after local recurrence for patients with ductal carcinoma in
situ (DCIS) of the breast. MJ Silverstein, M Lagios, JR Waisman, PH
Craig, BS Lewinsky, P Gamagami, JA Jensen, A Barth. The Breast
Center, Van Nuys, Ca., St. Marys Hospital, San Francisco, CA,
Institute of Medical Oncology, University of Bern, Switzerland.

Local recurrence after treatment for DCIS is demoralizing and, if
invasive, a threat to life. We present data on 651 nonrandomized
patients with a total of 68 recurrences, 32 of which (47%) were
invasive. All survival data is 10-year actuarial (Kaplan-Meier).

Mastectomy Excision +Radiation ExcisionOnly

Number of patients (n = 651)

233 199 219

Total recurrences (n = 68)
2 32 34

Invasive recurrences (n = 32)
2 16 14

Distant metastases (n = 7)
2 4 1

Breast cancer deaths
0 3 0

Average DCIS size (mm)
40 18 14

Average followup (months)
82 91 70

Local disease-free survival
99 % 79 % 75 %

Distant disease-free survival
99 % 97 % 99 %

Breast cancer specific survival
100 % 98 % 100 %

Overall Survival
90 % 87 % 89 %


For the 68 patients who recurred locally, the 10-yr breast cancer
specific and distant disease-free survivals were 94% and 80%,
respectively. If only the 32 invasive recurrences are considered as
events, the 10-yr breast cancer specific and distant disease-free
survivals were 87% and 70%, respectively. These results indicate that
most patients with local recurrences can be salvaged. For the small
subgroup of patients who recur with invasive breast cancer, there is
a 13% risk of death from metastatic disease within 10 years of local
recurrence, a mortality rate similar to patients with T1a or T1b node
negative primary breast carcinoma.

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