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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)