Table 1. RAPCHEM outcomes per risk and treatment subgroups.
Risk group | RAPCHEM approach | Treatment subgroup† | |||||||
---|---|---|---|---|---|---|---|---|---|
Per protocol | Protocol deviations—less than per protocol | Protocol deviations—more than per protocol | |||||||
Recurrence rate (%) | Number of patients | Recurrence rate (%) | Number of patients | Recurrence rate (%) | Number of patients | ||||
Low risk (N=291) | ALND ± RNI‡ | 2.3 | 162 | NR | 2 | 1.9 | 73 | ||
SLNB ± RNI | 19 | 0 | 36 | ||||||
Intermediate risk (N=370) | ALND ± RNI‡ | 1.0 | 174 | 3.2 | 54 | 3.8 | 94 | ||
SLNB ± RNI | 30 | 10 | 12 | ||||||
High risk (N=177) | ALND + RNI‡ | 1.4 | 125 | 8.4 | 7 | N/A | – | ||
SLNB + RNI | 32 | 18 | – |
†, number of patients in each subgroup is taken from Boersma et al. (20); ‡, with omission of the operated part of the axilla. RAPCHEM, radiotherapy after primary chemotherapy study (19); ALND, axillary lymph node dissection; N/A, not applicable; RNI, regional nodal irradiation; SLNB, sentinel lymph node biopsy; NR, not reported.