The trial is designed as a non-inferiority trial. The expected percentage of patients who are free of local recurrence after a three-year follow-up is 98 % in the control group and 96 % in the study group. The difference in percentage of recurrence free patients between standard treatment and experimental treatment may not be larger than 7 %. Hence, the experimental treatment is non-inferior if at least 91 % of patients is free of local recurrence. This 91 % is seen as a worst case scenario when adjuvant treatment has no influence on local recurrence. Hypothesizing that the difference in percentage of patients with local recurrence may not be larger than 7 %, with a one sided alfa, an 80 % power and a drop-out of 5 % a sample size of 302 patients (151 per group) is needed.
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