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Volume 366, Issue 9503, Pages (December 2005)

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Presentation on theme: "Volume 366, Issue 9503, Pages (December 2005)"— Presentation transcript:

1 Volume 366, Issue 9503, Pages 2087-2106 (December 2005)
Effects of radiotherapy and of differences in the extent of surgery for early breast cancer on local recurrence and 15-year survival: an overview of the randomised trials  The Lancet  Volume 366, Issue 9503, Pages (December 2005) DOI: /S (05) Copyright © 2005 Elsevier Ltd Terms and Conditions

2 Figure 1 Effect of radiotherapy (RT) after BCS (ten trials) on local recurrence and on breast cancer mortality—event rate ratios O–E=observed–expected. BW=breast/chest wall. S=scar (as site of RT boost). AF=axilla/fossa. IMC=internal mammary chain. Sites in parentheses not always treated. *Some systemic adjuvant therapy (same polychemotherapy and/or tamoxifen) in both groups. 99% CIs are given for trial-specific results (black squares) and 95% CIs are given for subtotals and totals (white diamonds). The Lancet  , DOI: ( /S (05) ) Copyright © 2005 Elsevier Ltd Terms and Conditions

3 Figure 2 Effect of radiotherapy (RT) after BCS on local recurrence and on breast cancer mortality—15-year probabilities Data from 10 trials. Vertical lines indicate 1 SE above or below the 5, 10, and 15 year percentages. The Lancet  , DOI: ( /S (05) ) Copyright © 2005 Elsevier Ltd Terms and Conditions

4 Figure 3 Effect of radiotherapy (RT) after mastectomy and axillary clearance (AC) on local recurrence and on breast cancer mortality—15-year probabilities Data from 25 trials. Vertical lines indicate 1 SE above or below the 5, 10, and 15 year percentages. The Lancet  , DOI: ( /S (05) ) Copyright © 2005 Elsevier Ltd Terms and Conditions

5 Figure 4 Absolute reduction in 5-year local recurrence risk—78 randomised comparisons grouped into 24 types of local treatment comparison, based on treatments compared and nodal status RT=radiotherapy. AC=axillary clearance. AS=axillary sampling. IMC=internal mammary chain of lymph nodes. *A few trials did not provide data on local recurrence, so in some comparisons numbers differ from table 1. The Lancet  , DOI: ( /S (05) ) Copyright © 2005 Elsevier Ltd Terms and Conditions

6 Figure 5 Local recurrence and breast cancer mortality for treatment comparisons that produce a less than 10% (upper panels) or more than 10% (lower panels) absolute reduction in 5-year local recurrence risk—15-year probabilities Vertical lines indicate 1 SE above or below the 5, 10, and 15 year percentages. The Lancet  , DOI: ( /S (05) ) Copyright © 2005 Elsevier Ltd Terms and Conditions

7 Figure 6 Effect of radiotherapy (RT) on breast cancer mortality and on all-cause mortality after BCS or after mastectomy with axillary clearance (AC)—15-year or 20-year probabilities Vertical lines indicate 1 SE above or below the 5, 10, and 15 year percentages. The Lancet  , DOI: ( /S (05) ) Copyright © 2005 Elsevier Ltd Terms and Conditions


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