Partial breast irradiation as sole therapy for low risk breast carcinoma: early toxicity, cosmesis and quality of life results of a MammoSite brachytherapy phase II study
| Autor: | Sylvia Giard, Marie-Christine Baranzelli, Thomas Lacornerie, Marie-Pierre Chauvet, Yazid Belkacemi, Sylviane Villette, F. Bonodeau, Jacques Bonneterre, Eric Lartigau |
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| Rok vydání: | 2007 |
| Předmět: |
medicine.medical_specialty
Esthetics medicine.medical_treatment Brachytherapy Lobular carcinoma Breast Neoplasms Statistics Nonparametric Catheterization Breast cancer Quality of life medicine Humans Radiology Nuclear Medicine and imaging Aged Neoplasm Staging business.industry Sentinel Lymph Node Biopsy Cosmesis Hematology Sentinel node Middle Aged medicine.disease Surgery Treatment Outcome Oncology Patient Satisfaction Seroma Lymphatic Metastasis Quality of Life Female Dose Fractionation Radiation Breast carcinoma business |
| Zdroj: | Radiotherapy and oncology : journal of the European Society for Therapeutic Radiology and Oncology. 90(1) |
| ISSN: | 0167-8140 |
| Popis: | Purpose The MammoSite is a device that was developed with the goal of making breast-conserving surgery (BCT) more widely available. Our objective was to evaluate the MammoSite device performances after an open cavity placement procedure and quality of life in highly selected patients with early-stage breast cancer. Methods and materials From March 2003 to March 2005, 43 patients with T1 breast cancer were enrolled in a phase II study. The median age was 72 years. Twenty-five (58%) patients were treated with high-dose rate brachytherapy using the MammoSite applicator to deliver 34Gy in 10 fractions. The main disqualifying factor was pathologic sentinel node involvement (10/43; 23%). There were no device malfunctions, migration or rupture of the balloon. Results After a median follow-up of 13 months, there were no local recurrences and one contralateral lobular carcinoma. Seventeen (68%), 13 (52%), 8 (32%), 5 (20%) and 2 (8%) patients had erythema, seroma, inflammation, hematoma and sever infection, respectively. Only 2 patients developed telangiectasia. At 1 year the rate of "good to excellent" cosmetic results was 84%. Significant changes in QoL were observed for emotional and social well-being between 3 and 12 months. At 24 months, only emotional well-being subscore changes were statistically significant ( p =0.015). Conclusions Our data in patients older than 60 years support the previously published data. Histologic features were the main disqualifying criteria. With higher skin spacing levels we observed very low incidence of telangiectasia. QoL evaluation indicates that baseline scores were satisfactory. Changes concerned emotional and social well-being. |
| Databáze: | OpenAIRE |
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