Radiotherapy alone or in combination with surgery in the management of XXXX .

@entity1 @entity0 @entity5 @entity66
239 @entity1 with @entity5 of the breast were treated by primary radiation therapy from 1977 to 1985. Of them 212 had an objective response and 27 showed no response to irradiation. From the objective responders, 105 @entity1 were subjected to mastectomy and axillary dissection and in 107 cases the radiotherapy was not followed by surgery. @entity1 of operated group had a 71% and the RT alone group had a 61% local-regional @entity5 control at 5 years. The analysis of local-regional recurrences revealed that none of the operated @entity1 had axillary recurrence but 8 had in the RT alone group. Postirradiation surgery is recommended for @entity1 who have @entity66 especially in the axillary region. The 5-year survival rate of operated @entity1 was significantly better, 58% vs. 35%. However, these results are not comparable since the incidence of less favourable cases was higher in the RT alone group. Chemotherapy was initiated for the 27 @entity1 who failed to respond to RT, but results were unsatisfactory. None of them survived three years. Further studies are needed to explore the role of chemotherapy in this stage of @entity0 .
