Short-Time Outcome of Intraoperative Radiotherapy (IORT): A Study on Side-Effects and Quality of Life in the Treatment of Early Breast Cancer
- Authors
-
-
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
-
- Keywords:
- Breast Cancer, Intraoperative radiation therapy, Radiation therapy, Side-effect, Cosmetics.
- Abstract
-
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.
- Downloads
-
Download data is not yet available.
- References
-
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.
- Downloads
- Published
- 28-11-2013
- Issue
- Vol. 2 No. 4 (2013)
- Section
- Articles
How to Cite
Similar Articles
- Lena Marinova, Viktor Petrov, Vaska Vassileva, Intensity Modulated Radiotherapy of Two Simultaneous Neoplasms - Cervical Carcinoma and Breast Carcinoma: A Case Report with a Review of the Literature , Journal of Cancer Research Updates: Vol. 10 (2021)
- Sung-Han Hsiao, Shi-Yu Luo, Ching-Ya Su, Wei-Cherng Tuo, Cheng-Ting Chiang, Yan-Qing Li, Yang-Hui Huang, Chung-Pu Wu, The Overexpression of ABCG2 Reduces the Efficacy of Volasertib (BI 6727) and GSK641364 in Human S1-M1-80 Colon Carcinoma Cells , Journal of Cancer Research Updates: Vol. 3 No. 2 (2014)
- Nikhil Vasdev, Patricia McClurey, Debra Gray, Aftab Bhatti, David Chadwick, An Audit to Evaluate the Clinical Safety and PSA Response of Firmagon® (Degarelix) in Patients with Advanced Metastatic Prostate Cancer - , Journal of Cancer Research Updates: Vol. 2 No. 1 (2013)
- Alberto Modenese, Preventing Melanoma with the Help of Occupational Physicians , Journal of Cancer Research Updates: Vol. 5 No. 4 (2016)
- Atish Patel, Hui Zhang, Deshen Wang, Dong-Hua Yang, Sanjay Dholakiya, Zhe-Sheng Chen1, Pharmacotherapeutic Options for Philadelphia Chromosome-Positive CML , Journal of Cancer Research Updates: Vol. 7 No. 2 (2018)
- Asmaa M. Elkady, Doaa A. Yousef, Mona M. Watany, Fatma Gharib, Efficacy of Melatonin Oral Gel in Reducing Oral Mucositis in Patients with Head and Neck Cancer under Chemoradiation , Journal of Cancer Research Updates: Vol. 14 (2025)
- Jiangting Hu, Ern Yu Tan, Leticia Campo, Russell Leek, Zainina Seman, Helen Turley, Domenico Delia, Alfredo Cesario, Kevin Gatter, Francesco Pezzella, TRAP1 is Involved in Cell Cycle Regulated by Retinoblastoma Susceptibility Gene (RB1) in Early Hypoxia and has Variable Expression Patterns in Human Tumors , Journal of Cancer Research Updates: Vol. 2 No. 3 (2013)
- Kenichi Suda, Simon Ito, Hiroshi Mizuuchi, Yoshihiko Maehara, Yasushi Yatabe, Tetsuya Mitsudomi, EGFR Tyrosine Kinase Inhibitors Prolong Overall Survival in EGFR Mutated Non-Small-Cell Lung Cancer Patients with Postsurgical Recurrence , Journal of Cancer Research Updates: Vol. 1 No. 1 (2012)
- Wei Zhang, Li-Wu Fu, ABC Transporters: Maintenance of the Cancer Stem Cell Phenotype , Journal of Cancer Research Updates: Vol. 3 No. 1 (2014)
- Wu-Ming Qin, Kun Wang, Jia-Rong Huang, Xiao-Long Mei, Zhi Shi, Sildenafil Induces Cell Cycle Arrest and Apoptosis in Human Colorectal Cancer HT-29 Cells , Journal of Cancer Research Updates: Vol. 7 No. 2 (2018)
You may also start an advanced similarity search for this article.