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Review
. 2010;2010(41):200-3.
doi: 10.1093/jncimonographs/lgq021.

The impact of systemic therapy following ductal carcinoma in situ

Affiliations
Review

The impact of systemic therapy following ductal carcinoma in situ

Jennifer Eng-Wong et al. J Natl Cancer Inst Monogr. 2010.

Abstract

Following local therapy for ductal carcinoma in situ (DCIS), tamoxifen reduces the risk of ipsilateral and contralateral breast cancer by 30%-50%. Studies of tamoxifen in women with resected DCIS have not shown any effect on overall or cancer-specific survival. The adverse event profile of tamoxifen is well characterized, and individual risks and benefits should be assessed to guide decision making. We review the results of the phase III trials of tamoxifen in DCIS as well as the emerging risk reduction therapies.

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Figures

Figure 1
Figure 1
Cumulative incidence of all breast cancer events in National Surgical Adjuvant Breast and Bowel Project B-24. L+XRT plac = lumpectomy and radiation therapy followed by placebo; L+XRT tam = lumpectomy and radiation therapy followed by tamoxifen.

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References

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