ESTRO Multidisciplinary Management of Breast Cancer 2017

Local Recurrence Rates Falling

12

5 year LRR

• Downwards trend towards 0.5% per year

10

8

• Better pathology assessment • Better surgery/Intraoperative margin assessment • Better RT plus boost • Adjuvant systemic therapy

6

4

2

0

1988-1998

1999-2005

2006-2010

Local Recurrence rates in women under age 40 (van Laar 2013)