Abstract
One of the first major randomized trials in cancer therapy was concerned with the value of postoperative adjuvant radiotherapy for breast cancer. Since then, a large number of trials have addressed this issue, but the impact of this treatment on long-term survival still remains clouded. This is due partly to the long natural history of breast cancer and partly to the changing approach to primary treatment, where a trend toward less surgery and more radiotherapy has taken place. The current interest in procedures aimed at breast conservation (Calle et al. 1978; Hell- man et al. 1980; Veronesi et al. 1981; Fisher et al. 1985 a) highlights this shift and emphasizes the need for a greater understanding of the role of radiotherapy in primary management.
We thank Dr. R. Edwards and Ms. I. Stratton for valuable computing assistance.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
References
Ahmann DL, Payne WS, Scanion PW et al. (1978) Repeated adjuvant chemotherapy with phenylalanine mustard or 5-fluorouracil, cyclophosphamide, and prednisone with or without radiation, after mastectomy for breast cancer. Lancet i: 893–896
Basco VE, Coldman AJ, Elwood JM et al. (1985) Radiation dose and second breast cancer. Br J Cancer 52: 319–325
Brady LW, Fletcher GH, Levitt SH (1977) Cancer of the breast: the role of radiation therapy after mastectomy. Cancer 39: 2868–2874
Brinkley D, Haybittle JL, Houghton J et al. (1984) The cancer research campaign (King’s/ Cambridge) trial for early breast cancer: an analysis of the radiotherapy data. Br J Radiol 57:309–316
Calle R, Pilleron JP, Schlienger P et al. (1978) Conservative management of operable breast cancer. Cancer 42: 2045–2053
Cancer Research Campaign Working Party (1976) Management of early cancer of the breast. Br Med J 1: 1035–1038
Cancer Research Campaign Working Party (1980) Cancer research campaign (King’s/Cambridge) trial for early breast cancer. Lancet ii: 55–60
Cuzick J, Stewart H, Peto R et al. (1987) Overview of randomized trials comparing radical mastectomy without radiotherapy against simple mastectomy with radiotherapy in breast cancer. Cancer Treat Rep 71: 7–14
De Schryver A (1976) The Stockholm breast cancer trial: preliminary report of a randomised study concerning the value of pre-operative or post-operative radiotherapy in operable disease. Int J Radiat Oncol Biol Phys 1: 601–609
Duncan W, Forrest APM, Gray N et al. (1975) New Edinburgh primary breast cancer trials. Br J Cancer 32: 628–630
Easson EC (1968) Post-operative radiotherapy in breast cancer. In: Forrest APM, Kunkler PB (eds) Prognostic factors in breast cancer. Livingstone Edinburgh, pp 118–127
Ellis F (1965) Dose, time and fractionation: a clinical hypothesis. Clin Radiol 20: 1–7
Fisher B, Slack NH, Cavanaugh PJ et al. (1970) Postoperative radiotherapy in the treatment of breast cancer. Ann Surg 172: 711–732
Fisher B, Montague E, Redmond C et al. (1977) Comparison of radical mastectomy with alternative treatments for primary breast cancer. Cancer 39: 2827–2839
Fisher B, Wolmark N, Redmond C et al. (1981) Comparison of radical mastectomy with alternative treatments. II. The clinical and biologic significance of medial-central breast cancers. Cancer 48: 1863–1872
Fisher B, Bauer M, Margolese R et al. (1985 a) Five-year results of a randomized clinical trial comparing total mastectomy and segmental mastectomy with or without radiation in the treatment of breast cancer. N Engl J Med 312: 664–673
Fisher B, Redmond C, Fisher E et al. (1985 b) Ten-year results of a randomized clinical trial comparing radical mastectomy and total mastectomy with or without radiation. N Engl J Med 312: 674–681
Fletcher GH, Montague ED (1978) Does adequate irradiation of the internal mammary chain and supraclavicular nodes improve survival rates? Int J Radiat Oncol Biol Phys 4: 481–492
Forrest APM, Stewart HJ, Roberts MM et al. (1982) Simple mastectomy and axillary note sampling in the management of primary breast cancer. Ann Surg 196: 371–378
Helman P, Bennette MB, Louw JH et al. (1972) Interim report on trial of treatment for operable breast cancer. S Afr Med J 46: 1374–1375
Hellman S, Harris JR, Levene MB (1980) Radiation therapy of early carcinoma of the breast without mastectomy. Cancer 46 [Suppl 4]: 988–994
Host H, Brennhovd IO (1975) Combined surgery and radiation therapy versus surgery alone in primary mammary carcinoma. Acta Radiol Ther Phys Biol 14: 25–32
Host H, Brennhovd LO (1977) The effect of post-operative radiotherapy in breast cancer. Int J Radiat Oncol Biol Phys 2: 1061–1067
Levitt SH, McHugh RB (1975) Early breast cancer and postoperative irradiation. Lancet ii: 1258–1259
Levitt SH, McHugh RB (1977) Radiotherapy in the postoperative treatment of operable cancer of the breast. Cancer 39: 924–932
Levitt SH, McHugh RB (1978) Reply to rebuttal letter by Drs. Stjernsward and Day. Cancer 40: 382–383
Lythgoe JP, Palmer MK (1982) Manchester regional breast study — 5-and 10-year results. Br J Surg 69: 693–696
Lythgoe JP, Swindell R (1978) Manchester regional breast study, preliminary results. Lancet i: 744–747
Palmer MK, Ribeiro CG (1985) Thirty-four-year follow-up of patients with breast cancer in a clinical trial of postoperative breast cancer. Br Med J 291:1088–1091
Paterson R (1962) Breast cancer: a report of two clinical trials. J R Coll Surg Edinb 7: 243–254
Paterson R, Russell MH (1959) Breast cancer: evaluation of post-operative radiotherapy. J Fac Radiol 10:174–180
Ribeiro GC (1979) Thirty years’ experience with breast cancer clinical trials at the Christie Hospital in Manchester — clinical aspects. In: Scheurlen H, Weckesser G, Armbruster I (eds) Clinical trials in early breast cancer. Springer, Berlin Heidelberg New York (Lecture notes in medical informatics, vol 4)
Stjernsward J (1974) Decreased survival related to irradiation postoperatively in early operable breast cancer. Lancet ii: 1285–1286
Stjernsward J (1977 a) Adjuvant radiotherapy trials in breast cancer. Cancer 39: 2846–2867
Stjernsward J (1977b) Can survival be decreased by postoperative irradiation? Int J Radiat Oncol Biol Phys 2: 1171–1175
Stjernsward J, Day N (1978) Rebuttal of two articles by Dr. Levitt et al., Cancer 1977. Cancer 40:381
Stjernsward J, Muenz LR, von Essen CF (1978) Postoperative radiotherapy and breast cancer. Lancet i: 749
Timothy AR, Overgaard J, Overgaard M et al. (1979) Treatment of early carcinoma of the breast. Lancet ii: 25–26
Turnbull AR, Turner DTL, Chant ADB et al. (1978) Treatment of early breast cancer. Lancet ii: 7–9
Watson TA (1977) Can survival be increased by post-operative irradiation? Int J Radiat Oncol Biol Phys 2:1181–1183
Wallgren A (1977) A controlled study: pre-operative versus post-operative irradiation. Int J Radiat Oncol Biol Phys 2:1167–1169
Veronesi U, Saccozzi R, Del Vecchio M et al. (1981) Comparing radical mastectomy with quadrantectomy, axillary dissection, and radiotherapy in patients with small cancers of the breast. N Engl J Med 305: 6–11
Yusuf S, Peto R, Lewis J et al. (1985) Beta-blockade during and after myocardial infarction: an overview of the randomised trials. Prog Cardiovasc Dis 27: 335–371
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1988 Springer-Verlag Berlin · Heidelberg
About this paper
Cite this paper
Cuzick, J. et al. (1988). Overview of Randomized Trials of Postoperative Adjuvant Radiotherapy in Breast Cancer. In: Scheurlen, H., Kay, R., Baum, M. (eds) Cancer Clinical Trials. Recent Results in Cancer Research, vol 111. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83419-6_15
Download citation
DOI: https://doi.org/10.1007/978-3-642-83419-6_15
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-83421-9
Online ISBN: 978-3-642-83419-6
eBook Packages: Springer Book Archive