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T1-3 N

any

5x5 Gy

+ Surg

vs

Surg alone

Swedish Trial

n=1168

Local Recurrences

@ 13 years

Dutch Trial

n=1861

Local Recurrences

@ 10 years

British Trial

n=1350

Local Recurrences

@ 5 years

9% vs 26%

(p<.001)

Overall Survival (13y)

38% vs 30%

(p=.008)

5% vs 11%

(p<.001)

Overall Survival (10y)

48% vs 49%

(n.s.)

5% vs 12%

(p<.001)

Overall Survival (5y)

70% vs 68%

(n.s)

Fokesson et al., J Clin Oncol 2005 van Gijn et al., Lancet Oncol 2011 Sebag-Montefiore et al., Lancet 2009