Short-Time Outcome of Intraoperative Radiotherapy (IORT): A Study on Side-Effects and Quality of Life in the Treatment of Early Breast Cancer
- Authors
-
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Caroline Page
Lausanne University, Lausanne, Switzerland -
Pierre-Alain Brioschi
Department of Gynecology, Clinique de Genolier, Genolier, Switzerland -
Jacques Bernier
Department of Radiation Oncology, Clinique de Genolier, Genolier, Switzerland
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- Keywords:
- Breast Cancer, Intraoperative radiation therapy, Radiation therapy, Side-effect, Cosmetics.
- Abstract
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Early prospective studies recently demonstrated the non-inferiority of intraoperative radiotherapy compared to protracted external radiotherapy in selected patients. The present study aims at analyzing, in a cohort of 80 women,the distribution and incidence of short-time side-effects induced by intraoperative radiotherapy as well as its impact on patient's quality of life in the months following the treatment. No side-effect was found in the majority of patients (n: 46; 58%). Out of those 32 patients experiencing side-effects after IORT, 26 cases (81%) were found to develop only mild effects. More than 94% of the patients declared to consider IORT as a clear advantage over external radiotherapy in the armamentarium of breast cancer treatment.
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- References
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Ligue Suisse contre le cancer [homepage on the Internet]. Cancer du sein (carcinome mammaire) [cited march 2011]: Available from: http://www.liguecancer.ch/fr/a_propos_du_ cancer/types_de_cancer/cancer_du_sein/
Saglier J, Beuzeboc P, Pommeyrol A, Toledano A. Cancer du Sein: Questions et réponses au quotidien, Abrégés. 3rd ed. Masson 2009.
Fisher B, Anderson S, Bryant J, et al. Twenty-year follow-up of randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N Engl J Med 2002; 347: 1233-41. http://dx.doi.org/10.1056/NEJMoa022152
Horst K-C, Smitt M-C, Goffinet D-R, Carlson R-W. Predictors of local recurrence after breast-conservation therapy. Clin Breast Cancer 2005; 5: 425-38. http://dx.doi.org/10.3816/CBC.2005.n.001
Jolly S, Kestin L-L, Goldstein N-S, Vicini F-A. The impact of lobular carcinoma in situ in association with invasive breast cancer on the rate of local recurrence in patients with early-stage breast cancer treated with breast conserving therapy. Int J Radiat Oncol Biol Phys 2006; 66: 365-71. http://dx.doi.org/10.1016/j.ijrobp.2006.05.070
Poggy M-M, Danforth D-N, Sciuto L-C. et al. Eighteen-year results in the treatment of early breast carcinoma with mastectomy versus breast conservation therapy: The National Cancer Institute Randomized Trial. Cancer 2003; 98: 697-702. http://dx.doi.org/10.1002/cncr.11580
Veronesi U, Cascinelli N, Mariani L, et al. Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N Engl J Med 2002; 347: 1227-32. http://dx.doi.org/10.1056/NEJMoa020989
Veronesi U, Orecchia R, Luini A, et al., Intraoperative radiotherapy during breast conserving surgery: a study on 1,822 cases treated with electrons. Breast Cancer Res Treat 2010; 124: 141-51. http://dx.doi.org/10.1007/s10549-010-1115-5
Vaidya JS, Joseph DJ, Tobias JS, et al. Targeted intraoperative radiotherapy versus whole breast radiotherapy for breast cancer (TARGIT-A trial): An international, prospective, randomised, non-inferiority phase 3 trial. Lancet 2010; 376: 91-102. http://dx.doi.org/10.1016/S0140-6736(10)60837-9
Reimer T, Gerber B. Quality-of-life considerations in the treatment of early-stage breast cancer in the elderly. Drugs Aging 2010; 27: 791-800. http://dx.doi.org/10.2165/11584700-000000000-00000
Zurrida S, Leonardi MC, Del Castillo A, Lazzari R, Arnone P, Caldarella P. Accelerated partial breast irradiation in early breast cancer: focus on intraoperative treatment with electrons (ELIOT). Womens Health 2012; 8: 89-98. http://dx.doi.org/10.2217/whe.11.86
Sprangers MA, Groenvold M, Arraras JI, et al. The European Organization for Research and Treatment of Cancer breast cancer-specific quality-of-life questionnaire module: first results from a three-country field study. J Clin Oncol 1996; 14: 2756-68.
Ruano-Ravina A, Cantero-Munoz P, Eraso Urien A. Efficacy and safety of intraoperative radiotherapy in breast cancer: A systematic review. Cancer Lett 2011; 313: 15-25. http://dx.doi.org/10.1016/j.canlet.2011.08.020
Bitterman A, Kessner R, Goldman L, Shiloni E, Steiner M. Intraoperative Radiotherapy for Breast Cancer. IMAJ 2012; 14: 256-59.
Wenz F, Welzel G, Keller A, et al. Early irradiation of external beam radiotherapy (EBRT) may increase the risk of long-term toxicity in patients undergoing intraoperative radiotherapy (IORT) as a boost for breast cancer. Breast 2008; 17: 617-22. http://dx.doi.org/10.1016/j.breast.2008.05.009
Andersen K, Gärtner R, Kroman N, Flyger H, Kehlet H. Persistent pain after targeted intraoperative radiotherapy (TARGIT) or external breast radiotherapy for breast cancer: A randomized trial. Breast 2012; 21: 46-49. http://dx.doi.org/10.1016/j.breast.2011.07.011
Leonardi C, Ivaldi GB, Santoro L, et al. Long-term side effects and cosmetic outcome in a pool of breast cancer patients treated with intraoperative radiotherapy with electrons as sole treatment. Tumori 2012; 98(3): 324-30.
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- Published
- 28-11-2013
- Issue
- Vol. 2 No. 4 (2013)
- Section
- Articles
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