Risk factors for local recurrence after breast-conserving surgery
(2003) In British Journal of Surgery 90(9). p.1093-1102- Abstract
- Background: It is not clear whether risk factors for local recurrence after breast-conserving surgery differ in women having surgery for in situ or invasive cancer. Furthermore, the Nottingham Prognostic Index (NPI) and Nottingham Histological Grade (NHG) have been little studied as determinants of local recurrence risk. Method: In a case-control study (491 cases and 1098 controls) nested within a cohort of 7502 women who had surgery for in situ or invasive cancer of the breast, patient characteristics, tumour characteristics and treatment-related variables were evaluated as risk factors for local recurrence. Results: Multivariate conditional logistic regression analyses showed that age below 40 years, tumour multicentricity and an unclear... (More)
- Background: It is not clear whether risk factors for local recurrence after breast-conserving surgery differ in women having surgery for in situ or invasive cancer. Furthermore, the Nottingham Prognostic Index (NPI) and Nottingham Histological Grade (NHG) have been little studied as determinants of local recurrence risk. Method: In a case-control study (491 cases and 1098 controls) nested within a cohort of 7502 women who had surgery for in situ or invasive cancer of the breast, patient characteristics, tumour characteristics and treatment-related variables were evaluated as risk factors for local recurrence. Results: Multivariate conditional logistic regression analyses showed that age below 40 years, tumour multicentricity and an unclear or unknown surgical margin were significant risk factors for local recurrence. Radiotherapy to the breast and adjuvant hormone therapy were protective. Cancer in situ was not associated with a higher risk of local recurrence than invasive cancer (odds ratio 1.0, 95 per cent confidence interval 0.8 to 1.3). NHG and NPI were not helpful in determining risk of local recurrence. Conclusion: Margin status, age, tumour multicentricity, and use of radiotherapy and adjuvant hormone therapy were important determinants of risk of local recurrence. With the exception of surgical margin, variables related to the quality of surgical management did not predict risk of local recurrence. (Less)
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https://lup.lub.lu.se/record/300641
- author
- organization
- publishing date
- 2003
- type
- Contribution to journal
- publication status
- published
- subject
- in
- British Journal of Surgery
- volume
- 90
- issue
- 9
- pages
- 1093 - 1102
- publisher
- Oxford University Press
- external identifiers
-
- pmid:12945077
- wos:000185447500011
- scopus:0141518226
- ISSN
- 1365-2168
- DOI
- 10.1002/bjs.4206
- language
- English
- LU publication?
- yes
- id
- 86feedd8-03e9-492e-b8f2-09bb649e025a (old id 300641)
- date added to LUP
- 2016-04-01 12:14:58
- date last changed
- 2022-04-05 19:44:22
@article{86feedd8-03e9-492e-b8f2-09bb649e025a, abstract = {{Background: It is not clear whether risk factors for local recurrence after breast-conserving surgery differ in women having surgery for in situ or invasive cancer. Furthermore, the Nottingham Prognostic Index (NPI) and Nottingham Histological Grade (NHG) have been little studied as determinants of local recurrence risk. Method: In a case-control study (491 cases and 1098 controls) nested within a cohort of 7502 women who had surgery for in situ or invasive cancer of the breast, patient characteristics, tumour characteristics and treatment-related variables were evaluated as risk factors for local recurrence. Results: Multivariate conditional logistic regression analyses showed that age below 40 years, tumour multicentricity and an unclear or unknown surgical margin were significant risk factors for local recurrence. Radiotherapy to the breast and adjuvant hormone therapy were protective. Cancer in situ was not associated with a higher risk of local recurrence than invasive cancer (odds ratio 1.0, 95 per cent confidence interval 0.8 to 1.3). NHG and NPI were not helpful in determining risk of local recurrence. Conclusion: Margin status, age, tumour multicentricity, and use of radiotherapy and adjuvant hormone therapy were important determinants of risk of local recurrence. With the exception of surgical margin, variables related to the quality of surgical management did not predict risk of local recurrence.}}, author = {{Fredriksson, I and Liljegren, G and Palm Sjövall, Margareta and Arnesson, LG and Emdin, SO and Fornander, T and Lindgren, A and Nordgren, H and Idvall, I and Holmqvist, M and Holmberg, L and Frisell, J}}, issn = {{1365-2168}}, language = {{eng}}, number = {{9}}, pages = {{1093--1102}}, publisher = {{Oxford University Press}}, series = {{British Journal of Surgery}}, title = {{Risk factors for local recurrence after breast-conserving surgery}}, url = {{http://dx.doi.org/10.1002/bjs.4206}}, doi = {{10.1002/bjs.4206}}, volume = {{90}}, year = {{2003}}, }