Summary
During 1974–1980,138 women with node-positive stage II breast cancer were treated with either eight courses of adriamycin-cyclophosphamide (AC) chemotherapy (82 patients) or AC chemotherapy plus comprehensive regional radiotherapy (56 patients). The overall relapse-free survival of the treated patients was significantly superior (P < 0.001) to a comparable group of women who underwent surgery alone. This effect of adjuvant therapy was clearly manifest in all groups of patients irrespective of nodal involvement or menopausal status. To date, relapse-free survival for patients receiving AC compared to AC plus radiotherapy is not different (P = 0.7). In summary, we have demonstrated that a brief 6-month course of adjuvant chemotherapy with AC can significantly reduce the recurrence rate in women with stage II breast cancer.
This work was supported by grants CA 17094 and CA 23074 from the National Cancer Institute, DHEW, Washington, DC (USA)
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References
American Joint Committee for Cancer Staging and End-Results Reporting (1977) Manual for staging of cancer. Chicago, pp 101–107
Bonadonna G, Valagussa P (1981) Dose-response effect of adjuvant chemotherapy in breast cancer. N Engl J Med 304:10–15
Bonadonna G, Brusamolino E, Valagussa P, Rossi A, Brugnatelli L, Brambilla C, DeLena M, Tancini G, Bajetta E, Musumeci R, Veronesi V (1976) Combination chemotherapy as an adjuvant treatment in operable breast cancer. N Engl J Med 294:405–410
Bonadonna G, Valagussa P, Rossi A, Zucali R, Tancini G, Bajetta E, Brambilla C, DeLena M, DiFranzo G, Banfi A, Rilke F, Veronesi V (1978) Are surgical adjuvant trials altering the course of breast cancer? Semin Oncol 5:450–464
Bonadonna G, Valagussa P, Rossi A, Tancini G, Bajetta E, Marchini S, Veronesi V (1979) CMF adjuvant chemotherapy in operable breast cancer. In: Jones SE, Salmon SE (eds) Adjuvant therapy of cancer II. Grune & Stratton, New York, pp 227–235
Breslow N (1970) A generalized Kruskal-Wallis test for comparing K samples subject to unequal patterns of censorship. Biometrika 57:579—594
Buzdar AU, Blumenschein CR, Gutterman JU et al. (1979) Postoperative adjuvant chemotherapy with fluorouracil, doxorubicin, cyclophosphamide, and BCG vaccine. JAMA 242:1509–1513
Cooper RG, Holland JF, Glidewell O (1979) Adjuvant chemotherapy of breast cancer. Cancer 44:793–798
Corbett T, Griswold D, Mayo J et al. (1975) Cyclophosphamide-adriamycin combination chemotherapy of transplantable murine tumors. Cancer Res 35:1568–1573
Dean JC, Salmon SE, Griffith KS (1979) Prevention of doxorubicin-induced hair loss with scalp hypothermia. N Engl J Med 301:1427–1429
Gehan EA (1965) A generalized Wilcoxon test for comparing arbitrarily single-censored samples. Biometrika 52:203—223
Glucksberg H, Rivkin SE, Rasmussen S (1979) Adjuvant chemotherapy for stage II breast cancer: A comparison of CMFVP versus l-PAM. In: Jones SE, Salmon SE (eds) Adjuvant therapy of cancer II. Grune & Stratton, New York, pp 261–268
Henderson C, Canellos GP (1980) Cancer of the breast: The past decade. N Engl J Med 302:17–30, 77–90
Kaplan E, Meier P (1958) Non-parametric estimations from incomplete observations. J Am Stat Assoc 53:457–481
Muss H, Cooper MR, Ferree C, Richards F, Stuart J, White D, Rhyne L, Spurr C (1980) A randomized adjuvant study of CMF with and without radiation therapy for stage II breast cancer. Proc Am Soc Clin Oncol 21:399
Nissen-Meyer R (1979) One short chemotherapy course in primary breast cancer: 12-Year follow-up in series 1 of the Scandinavian adjuvant chemotherapy study group. In: Jones SE, Salmon SE (eds) Adjuvant therapy of cancer II. Grune & Stratton, New York, pp 207–213
Peto R, Pike MC, Armitage P, Breslow NE, Cox BR, Howard SV, Mantel N, McPherson K, Peto J, Smith PG (1977) Design and analysis of randomized clinical trials requiring prolonged observation of each patient. Br J Cancer 35:1–39
Salmon SE, Jones SE (1979) Studies of the combination of adriamycin and cyclophosphamide (alone or with other agents) for the treatment of breast cancer. Oncology 36:40–47
Salmon SE, Wendt A, Jones SE, Jackson R, Giordano G, Miller R, Heusinkveld R, Moon TE (1979) Treatment of early breast cancer with adriamycin-cyclophosphamide with or without radiation therapy: Initial results of a brief and effective adjuvant program. In: Bonadonna G, Mathe G, Salmon SE (eds) Recent results in cancer research. Springer, Berlin Heidelberg New York, pp 98–104
Wendt AG, Jones SE, Salmon SE, Giordano GF, Jackson RA, Miller RS, Heusinkveld RS, Moon TE (1979) Adjuvant chemotherapy of breast cancer with adriamycin- cyclophosphamide with or without radiation therapy. In: Jones SE, Salmon SE (eds) Ad j uvant therapy of cancer II. Grune & Stratton, New York, pp 285–293
Wheeler TK, Edelystyn GA, Bates TS et al. (1979) Four-drug combination chemotherapy following surgery for breast cancer. In: Jones SE, Salmon SE (eds) Adjuvant therapy of cancer II. Grune & Stratton, New York, pp 269–276
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Jones, S.E. et al. (1982). Adjuvant Treatment of Node-Positive Breast Cancer with Adriamycin-Cyclophosphamide with or Without Radiation Therapy: Interim Results of an Ongoing Clinical Trial. In: Mathé, G., Bonadonna, G., Salmon, S. (eds) Adjuvant Therapies of Cancer. Recent Results in Cancer Research, vol 80. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-81685-7_27
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DOI: https://doi.org/10.1007/978-3-642-81685-7_27
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