title: Management of high-risk node-positive breast cancer by standard-dose chemotherapy and loco-regional radiotherapy.
abstract: One-hundred, thirty-six women, aged up to 76 years, with high-risk breast cancer were treated with postoperative radiotherapy and 9 cycles of adjuvant chemotherapy in standard doses. Treatment-related toxicity was mild. At a median follow-up of 7.3 years, 39.6% are disease-free. At 5 and 10 years overall survival was 55% and 34% respectively; disease-free survival was 39% and 33% respectively. Eighteen patients (13.2%) developed loco-regional recurrence, which was uncontrolled in four. When compared to series treated with adjuvant chemotherapy, but without radiotherapy, there are apparent survival gains of 10-15% at 5 and 10 years. These results in both pre- and post-menopausal patients compare favourably with results of high-dose chemotherapy and stem-cell rescue in much more highly selected patients.
authors.affiliation: Department of Radiation Oncology, Westmead Hospital, Westmead 2145, Australia.
authors.forename: A
authors.initials: A
authors.lastname: Langlands
authors.forename: V
authors.initials: V
authors.lastname: Ahern
authors.forename: O
authors.initials: O
authors.lastname: Ung
authors.forename: J
authors.initials: J
authors.lastname: Boyages