Local Recurrence Rates Falling
•
Downwards trend towards 0.5%
per year
•
Better pathology assessment
•
Better surgery/Intraoperative
margin assessment
•
Better RT plus boost
•
Adjuvant systemic therapy
0
2
4
6
8
10
12
1988-1998
1999-2005
2006-2010
5 year LRR
Local Recurrence rates in women under age 40 (van Laar
2013)