By M. H. N. Tattersall (auth.), Professor Dr. Hans-Jörg Senn, Priv.-Doz. Dr. Aron Goldhirsch, Dr. Richard D. Gelber, Dr. Bruno Osterwalder (eds.)
The final "consumer" of the information awarded at meetings at the basic remedy of operable breast melanoma is the sufferer, and while, as during this illness, some great benefits of remedy are quite mod est, the supply and interpretation of the knowledge from trials be comes a subject of fundamental value. the consequences of current deal with ment are in reality such that extra sufferers relapse regardless of remedy than are expected to profit from it. it really is, for that reason, tremendous dif ficult for the general practitioner to suggest unequivocally one specific adjuvant therapy modality for the enormous inhabitants of ladies with breast melanoma. the translation of effects from medical research-oriented seasoned grams is continually utilized, in spite of the fact that, within the therapy of breast melanoma sufferers outdoor of scientific trials. From offered or put up ed info, many physicians extrapolate symptoms for using a given therapy routine for his or her sufferers, perceiving it because the "best on hand treatment. " it truly is crucial that the "best on hand treatment" be chosen separately for every sufferer. besides the fact that, contemplating the modest impact of therapy upon final result, it's relevant that those that give you the info - those who find themselves focused on either pa tient care and scientific examine - make it recognized that the simplest cur hire therapy for the inhabitants of breast melanoma sufferers is avail capable in the framework of scientific trials. during this manner not just present-day sufferers but in addition destiny ones will derive the best benefit.
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Extra info for Adjuvant Therapy of Primary Breast Cancer
In groups III and IV, one or two doses had to be delayed. Discussion Our study confirms the effectiveness of a combined modality approach using neoadjuvant chemotherapy and radiotherapy in the treatment of patients with breast cancer. Tumor regression of over 75% was observed in 63% of patients. Despite the large initial tumor burden observed in 122 patients with locally advanced breast cancer, the regression induced by chemotherapy allowed conservative treatment in most patients, since only 20 (8%) local relapses required secondary mastectomy: seven (5%) in groups I and II and 13 (11%) in groups III and IV.
1985; Chauvergne et al. 1979; Kantarjian et al. 1984; Rubens et al. 1980; Zylberberg et al. 1982). More time is necessary to confirm the same benefit for groups I and II (Papaiannou 1981). More refined knowledge of the biology of breast cancer, more complex and pharmacologically correct drug regimens, optimal timing of radiotherapy, and better schedules of hormonotherapy are now required to enhance this progress. Acknowledgements. The authors are thankful to Amina Jindani, London, for her help with the translation.
1982). On the other hand, primary or neoadjuvant chemotherapy represents the most logical way to apply chemotherapy since it improves the effects of local treatment, whether surgery or radiotherapy. It also allows the assessment of the activity of a given combination in a given patient by measuring the amount of tumor regression, and it ensures the early management of micrometastases which will ultimately cause the death of the majority of patients. We shall not repeat here the theoretical (Goldie and Coldman 1979), experimental (Karrer et al.
Adjuvant Therapy of Primary Breast Cancer by M. H. N. Tattersall (auth.), Professor Dr. Hans-Jörg Senn, Priv.-Doz. Dr. Aron Goldhirsch, Dr. Richard D. Gelber, Dr. Bruno Osterwalder (eds.)