A Single-Institution Review of Accelerated Partial Breast Irradiation in Patients Considered “Cautionary” by the American Society for Radiation Oncology

Background The American Society for Radiation Oncology (ASTRO) issued a consensus statement in 2009 regarding patient selection for accelerated partial breast irradiation (APBI) following breast-conserving surgery (BCS) for breast cancer (BC). We reviewed our single-institution experience with APBI...

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Bibliographic Details
Published in:Annals of surgical oncology 2012-02, Vol.19 (2), p.553-559
Main Authors: Stull, Tari S., Catherine Goodwin, M., Gracely, Edward J., Chernick, Michael R., Carella, Richard J., Frazier, Thomas G., Barrio, Andrea V.
Format: Article
Language:English
Subjects:
Brachytherapy
Breast Neoplasms - mortality
Breast Neoplasms - radiotherapy
Breast Neoplasms - surgery
Breast Oncology
Carcinoma, Ductal, Breast - mortality
Carcinoma, Ductal, Breast - radiotherapy
Carcinoma, Ductal, Breast - surgery
Carcinoma, Intraductal, Noninfiltrating - mortality
Carcinoma, Intraductal, Noninfiltrating - radiotherapy
Carcinoma, Intraductal, Noninfiltrating - surgery
Carcinoma, Lobular - mortality
Carcinoma, Lobular - radiotherapy
Carcinoma, Lobular - surgery
Dose Fractionation
Female
Follow-Up Studies
Humans
Mastectomy, Segmental
Medicine
Medicine & Public Health
Middle Aged
Neoplasm Staging
Oncology
Patient Selection
Radiation Oncology
Retrospective Studies
Societies, Medical
Surgery
Surgical Oncology
Survival Rate
Treatment Outcome
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Summary:Background The American Society for Radiation Oncology (ASTRO) issued a consensus statement in 2009 regarding patient selection for accelerated partial breast irradiation (APBI) following breast-conserving surgery (BCS) for breast cancer (BC). We reviewed our single-institution experience with APBI in patients considered “cautionary” by ASTRO to determine patterns of recurrence. Methods An institutional review board-approved, retrospective chart review was conducted from January 2004 to November 2009. We identified 106 “cautionary” patients with 109 BC. All patients were treated with BCS followed by APBI via balloon catheter brachytherapy. “Cautionary” criteria include patients aged 50–59 years, tumor size 2.1–3.0 cm, close margins (
ISSN:1068-9265
1534-4681
DOI:10.1245/s10434-011-1941-7