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One-week external beam partial breast irradiation: survival and toxicity outcomes.
Colciago, Riccardo Ray; La Rocca, Eliana; Giandini, Carlotta; Rejas Mateo, Alicia; Bedini, Nice; Capri, Giuseppe; Folli, Secondo; Lozza, Laura; Meroni, Silvia; Emanuele, Pignoli; Rancati, Tiziana; Arcangeli, Stefano; De Santis, Maria Carmen.
Afiliação
  • Colciago RR; School of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
  • La Rocca E; Department of Radiation Oncology, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
  • Giandini C; Department of Radiation Oncology, Azienda Ospedaliero Universitaria Integrata, P.le A. Stefani 1, 37126, Verona, Italy. Eliana.larocca1@gmail.com.
  • Rejas Mateo A; Department of Radiation Oncology, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
  • Bedini N; Department of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
  • Capri G; Department of Radiation Oncology, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
  • Folli S; Medical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
  • Lozza L; Breast Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
  • Meroni S; Department of Radiation Oncology, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
  • Emanuele P; Medical Physics Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
  • Rancati T; Medical Physics Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
  • Arcangeli S; Data Science Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
  • De Santis MC; School of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
J Cancer Res Clin Oncol ; 149(12): 10965-10974, 2023 Sep.
Article em En | MEDLINE | ID: mdl-37329461
ABSTRACT

PURPOSE:

According to ASTRO and ESTRO guidelines, external beam Partial Breast Irradiation (PBI) is a valid option for early-stage breast cancer patients. Nevertheless, there is lack of consensus about the best treatment schedule.

METHODS:

We retrospectively analysed data of female patients treated at our institution from 2013 to 2022 with adjuvant "one-week" partial breast irradiation. Clinical Target Volume (CTV) was an isotropic expansion of 15 mm from the tumour bed (identified as the breast tissue between surgical clips). The treatment schedule was 30 Gy delivered with Volumetric Modulated Arc Therapy in 5 daily fractions. The primary endpoint was Local Control (LC). Disease-Free Survival (DFS), Overall Survival (OS) and safety were secondary endpoints.

RESULTS:

Three hundred and forty-four patients with a median age of 69 (33-87) years were included in the study. After a median follow-up of 34 (7-105) months, 7 patients (2.0%) developed a local recurrence. Three-year LC, DFS and OS actuarial rates were 97.5% (95% CI 96.2%-98.8%), 95.7% (95% CI 94.2%-97.2%), and 96.9% (95% CI 95.7%-98.1%), respectively. Ten (2.9%) patients experienced grade 2 late toxicities. Five (1.5%) patients reported late cardiac major events. Three (0.9%) late pulmonary toxicities were detected. One hundred and five (30.5%) patients reported fat necrosis. Good or excellent cosmetic evaluation following the Harvard Scale was reported in 252 (96.9%) cases by the physicians, while in 241 (89.2%) cases by the patients.

CONCLUSION:

"One-week" PBI is effective and safe, and this schedule is a valid option for highly selected early breast cancer patients.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Mastectomia Segmentar Tipo de estudo: Guideline / Observational_studies Limite: Aged / Aged80 / Female / Humans Idioma: En Revista: J Cancer Res Clin Oncol Ano de publicação: 2023 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Neoplasias da Mama / Mastectomia Segmentar Tipo de estudo: Guideline / Observational_studies Limite: Aged / Aged80 / Female / Humans Idioma: En Revista: J Cancer Res Clin Oncol Ano de publicação: 2023 Tipo de documento: Article