Table 1: Summary of survival and recurrence in prospective randomized trials of mastectomy versus breast-conserving surgery Study group Interventions No. of patients Follow-up; yr Survival; % Disease-free survival; % Local recurrence; % Veronesi et al (Milan), 19907 BCS + RT
TM352
34915
1568
66
3.3
2.3Fisher et al (NSABP), 19893 BCS
BCS + RT
TM636
629
5908
8
883
84
8264
71
6739
10
8Blichert-Toft et al (Denmark), 19922 BCS + RT
TM430
4296
679
8270
66
van Dongen et al (EORTC), 19925 BCS + RT
TM426
4568
860
60
11
8Jacobson et al (NCI), 19958 BCS + RT
TM121
11610
1077
7572
695
10Arriagada et al (Institut Gustave-Roussy), 19961 BCS + RT
TM88
9115
1573
6555
449
14NSABP = National Surgical Adjuvant Breast Project, NCI = National Cancer Institute, EORTC = European Organization for the Research and Treatment of Cancer, BCS = breast-conserving surgery, RT = radiotherapy, TM = total mastectomy
Return to Guideline 3