Abstract
The natural history of operable breast cancer can be affected by adjuvant treatment (Lippman 1986; Salmon 1987). Adjuvant combination chemotherapy, e.g., cyclophosphamide, methotrexate, and 5-fluorouracil (CMF) results in a significant prolongation of disease-free (DFS) and overall survival (OS) in premenopausal node-positive patients. These data were mainly obtained by overview analyses of randomized trials with treatment groups as compared with no adjuvant therapy (control) after mastectomy.
This work was partially supported by grants from ICI-Pharma, Plankstadt, FRG, and Farmitalia Carlo Erba, Freiburg, FRG.
This is a preview of subscription content, log in via an institution.
Buying options
Tax calculation will be finalised at checkout
Purchases are for personal use only
Learn about institutional subscriptionsPreview
Unable to display preview. Download preview PDF.
References
Anonymous (1987) Adjuvant tamoxifen in early breast cancer. Lancet ii: 191–192
Bonadonna G, Brusamolino E, Valagussa P et al. (1976) Combination chemotherapy as an adjuvant treatment in operable breast cancer. N Engl J Med 294: 405–410
Bonadonna G, Valagussa P (1985) Adjuvant systemic therapy for resectable breast cancer. J Clin Oncol 3: 259–275
Bonadonna G, Valagussa P (1986) Adjuvant chemoendocrine therapy in breast cancer. J Clin Oncol 4: 451–454
Consensus Conference (1985) Adjuvant chemotherapy for breast cancer. JAMA 254: 3461–3463
EORTC: Breast Cancer Cooperative Group (1973) Standards for the assessment of estrogen receptors in human breast cancer. Eur J Cancer Clin Oncol 9: 379–381
Fisher B, Redmond C, Brown A et al. (1981) Treatment of primary breast cancer with chemotherapy and tamoxifen. N Engl J Med 305: 1–6
Fisher B, Redmond C, Brown A et al. (1986) Adjuvant chemotherapy with and without tamoxifen in the treatment of primary breast cancer: 5-year results from the National Surgical Adjuvant Breast and Bowel Project Trial. J Clin Oncol 4: 459–471
Fisher ER, Sass R, Fisher B et al. (1987) Pathologic findings from the National Surgical Adjuvant Breast Project: Correlations with concordant and discordant estrogen and progesterone receptors. Cancer 59: 1554–1559
Gelber RD, Goldhirsch A for the Ludwig Breast Cancer Study Group (1986) A new endpoint for the assessment of adjuvant therapy in postmenopausal women with operable breast cancer. J Clin Oncol 4: 1772–1779
Hubay C, Pearson OH, Marshall US et al. (1980) Antiestrogen, cytotoxic chemotherapy and bacillus Calmette-Guerain vaccination in stage II breast cancer: a preliminary report. Surgery 87: 494–501
Kaplan EL, Meier P (1958) Nonparametric estimation from incomplete observations. J Am Statis Assoc 53: 457–481
Kaufmann M (1983) Biochemische prognostische Faktoren beim Mamma-Karzinom. In: Kubli F, Nagel GA, Kadach U, Kaufmann M (eds) Neue Wege in der Brustkrebsbehandlung. Zuckschwerdt, Munich, pp 46–61 (Aktuelle onkologie, vol 8 )
Kaufmann M, Jonat W et al. (GABG) (1984) Risk adapted adjuvant chemo-hormonotherapy in operable nodal positive breast cancer. In: Jones SE, Salmon SE (eds) (1984) Adjuvant therapy of cancer, vol 4. Grune and Stratton, New York, pp 369–378
Kaufmann M, Jonat W, Caffier H, Hilfrich J, Melchert F, Mahlke M, Abel U, Maass H, Kubli F for the Gynecological Adjuvant Breast Cancer Group (1985) Adjuvant chemo-hormonotherapy selected by axillary node and hormone receptor status in node-positive breast cancer. Reviews Endocrine-Related Cancer 17: [Suppl] 57–63
Meakin JW (1986) Review of Canadian Trials of adjuvant endocrine therapy for breast cancer. NCI Monogr 1: 111–113
Lippman ME (ed) (1986) NIH Consensus Development Conference on adjuvant chemotherapy and endocrine therapy breast cancer 1985. NCI Monogr 1
Ludwig Breast Cancer Study Group (1984) Randomized trial of chemo-endocrine therapy, endocrine therapy and mastectomy alone in postmenopausal patients with operable breast cancer and axillary node metastases. Lancet i: 1256–1260
Ludwig Breast Cancer Study Group (1985) Chemotherapy with or without oophorectomy high-risk premenopausal patients with operable breast cancer. J Clin Oncol 3: 1059–1067
Nolvadex Adjuvant Trial Organization (NATO) (1985) Controlled trial of tamoxifen as single adjuvant agent in management of early breast cancer. Analysis at six years. Lancet i: 836–840
Padmanabhan N, Wang DY, Moore JW, Rubens RD (1987) Ovarian function and adjuvant chemotherapy for early breast cancer. Eur J Cancer Clin Oncol 23: 745–748
Peto R, Pike MC, Armitage P et al. (1977) Design and analysis of randomized clinical trials requiring prolonged observation of each patient. Analysis and examples. Br J Cancer 35: 1–39
Rose C, Thorpe S, Anderson KW et al (1985) Beneficial effect of adjuvant tamoxifen therapy in primary breast cancer patients with high oestrogen receptor value. Lancet i: 16–19
Salmon SE (ed) (1987) Adjuvant therapy of cancer, vol 5. Grune and Stratton, New York
Salmon SE, Jones SE (1979) Studies of the combination of adriamycin and cyclophosphamide (alone or with other agents) for the treatment of breast cancer. Oncology 36: 40–44
Scottish Cancer Trial (1987) Adjuvant tamoxifen in the management of operable breast cancer: The Scottish Trial. Lancet ii: 171–175
Wilson RE, Donegan WL, Mettlin C et al. (1984) The 1982 national survey of carcinoma of the breast in the United States. Surg Gynecol Obstet 159: 309–318
Author information
Authors and Affiliations
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 1989 Springer-Verlag Berlin · Heidelberg
About this paper
Cite this paper
Kaufmann, M., Jonat, W., Abel, U. (1989). Adjuvant Chemo- and Endocrine Therapy Alone or in Combination in Premenopausal Patients (GABG Trial 1). In: Senn, HJ., Goldhirsch, A., Gelber, R.D., Osterwalder, B. (eds) Adjuvant Therapy of Primary Breast Cancer. Recent Results in Cancer Research, vol 115. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-83337-3_17
Download citation
DOI: https://doi.org/10.1007/978-3-642-83337-3_17
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-642-83339-7
Online ISBN: 978-3-642-83337-3
eBook Packages: Springer Book Archive