[Accelerated partial breast irradiation with multicatheters during breast conserving surgery for cancer]
| Autor: | Fernando Martínez Regueira, Luis Pina Insausti, Jose Javier Sola Gallego, Arlette Elizalde Pérez, Mauricio Cambeiro Vázquez, Jorge Arredondo Chaves, Natalia Rodríguez-Spiteri Sagredo, Amaya y García-Lallana, Begoña Olartecoechea Linaje |
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| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
Catheters Time Factors medicine.medical_treatment Brachytherapy Breast Neoplasms Mastectomy Segmental Intraoperative Period Breast cancer Whole Breast Irradiation medicine Carcinoma Breast-conserving surgery Humans Prospective Studies business.industry General surgery Lumpectomy General Engineering Cancer Partial Breast Irradiation Middle Aged medicine.disease Combined Modality Therapy Radiation therapy Female Radiology business |
| Zdroj: | Cirugia espanola. 91(8) |
| ISSN: | 1578-147X |
| Popis: | Purpose Accelerated partial breast irradiation (APBI) with multicatheters after lumpectomy for breast cancer (BC) may be an alternative to whole breast irradiation in selected patients. The aim is to show our 5 year experience. Method Between June 2007 and June 2012, 87 BC patients have been evaluated for APBI. Inclusion criteria were: age over 40 years, unifocal tumor, infiltrating ductal or intraductal carcinoma, tumor size smaller than 3 cm and no lymph node involvement. Results Treatment was completed in 48 patients and contraindicated in 39. The average age of treated patients was 59 years. Operating time was 126 min with 9 implanted catheters in each patient. No complications were observed during surgery or radiotherapy. Patients were discharged from hospital after 4–6 days. Tumor size was 11 mm. Of these, 35 were infiltrating ductal and 13 intraductal carcinomas. 44 patients received adjuvant treatment. Mean follow-up was 20 months with no evidence of local or distant recurrence. The cosmetic outcome was good or excellent in 63% of cases. Conclusions APBI with multicatheter placed after lumpectomy for BC is feasible and safe but requires a strict selection of patients. Moreover, it may have certain advantages over other APBI techniques and over standard radiation therapy. |
| Databáze: | OpenAIRE |
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