Predictors of Local Recurrence Following Conservative Breast Surgery and Radiation Therapy: The Influence of Tumor Size

Timothy J. Eberlein, James L. Connolly, Stuart J. Schnitt, Abram Recht, Robert T. Osteen, Jay R. Harris

Research output: Contribution to journalArticlepeer-review

68 Scopus citations

Abstract

• Size of tumor has not been established as a predictor of tumor recurrence in the breast following conservative surgery and radiation therapy. We analyzed 783 patients with infiltrating carcinoma treated with simple excision and radiation therapy. Median follow-up was 91 months. Median age at diagnosis was 50 years. There was a 13% recurrence among patients with T1 lesions compared with a 12% recurrence among patients with T2 tumors. Size did not predict for local recurrence when the tumor was analyzed by 1-cm increments and whether the tumor was estrogen receptor protein positive or estrogen receptor protein negative. Patients with an extensive intraductal component had a significantly higher local recurrence rate for every tumor size compared with patients with extensive intraductal component–negative tumors. We concluded that size did not predict local recurrence.

Original languageEnglish
Pages (from-to)771-777
Number of pages7
JournalArchives of Surgery
Volume125
Issue number6
DOIs
StatePublished - Jun 1990

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