Different Re-Irradiation Techniques after Breast-Conserving Surgery for Recurrent or New Primary Breast Cancer

Breast re-irradiation (reRT) after breast-conserving surgery (BCS) using external beam radiation is an increasingly used salvage approach for women presenting with recurrent or new primary breast cancer. However, radiation technique, dose and fractionation as well as eligibility criteria differ betw...

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Main Authors: Camille Hardy Abeloos, Juhi M. Purswani, Paulina Galavis, Allison McCarthy, Christine Hitchen, J. Isabelle Choi, Naamit K. Gerber
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Current Oncology
Subjects:
Online Access:https://www.mdpi.com/1718-7729/30/1/88
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author Camille Hardy Abeloos
Juhi M. Purswani
Paulina Galavis
Allison McCarthy
Christine Hitchen
J. Isabelle Choi
Naamit K. Gerber
author_facet Camille Hardy Abeloos
Juhi M. Purswani
Paulina Galavis
Allison McCarthy
Christine Hitchen
J. Isabelle Choi
Naamit K. Gerber
author_sort Camille Hardy Abeloos
collection DOAJ
description Breast re-irradiation (reRT) after breast-conserving surgery (BCS) using external beam radiation is an increasingly used salvage approach for women presenting with recurrent or new primary breast cancer. However, radiation technique, dose and fractionation as well as eligibility criteria differ between studies. There is also limited data on efficacy and safety of external beam hypofractionation and accelerated partial-breast irradiation (APBI) regimens. This paper reviews existing retrospective and prospective data for breast reRT after BCS, APBI reRT outcomes and delivery at our institution and the need for a randomized controlled trial using shorter courses of radiation to better define patient selection for different reRT fractionation regimens.
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spelling doaj.art-9b8cb4455e7f4cf9867170e18b87c6b52023-11-30T21:50:06ZengMDPI AGCurrent Oncology1198-00521718-77292023-01-013011151116310.3390/curroncol30010088Different Re-Irradiation Techniques after Breast-Conserving Surgery for Recurrent or New Primary Breast CancerCamille Hardy Abeloos0Juhi M. Purswani1Paulina Galavis2Allison McCarthy3Christine Hitchen4J. Isabelle Choi5Naamit K. Gerber6Department of Radiation Oncology, NYU School of Medicine, New York, NY 10016, USADepartment of Radiation Oncology, NYU School of Medicine, New York, NY 10016, USADepartment of Radiation Oncology, NYU School of Medicine, New York, NY 10016, USADepartment of Radiation Oncology, NYU School of Medicine, New York, NY 10016, USADepartment of Radiation Oncology, NYU School of Medicine, New York, NY 10016, USADepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USADepartment of Radiation Oncology, NYU School of Medicine, New York, NY 10016, USABreast re-irradiation (reRT) after breast-conserving surgery (BCS) using external beam radiation is an increasingly used salvage approach for women presenting with recurrent or new primary breast cancer. However, radiation technique, dose and fractionation as well as eligibility criteria differ between studies. There is also limited data on efficacy and safety of external beam hypofractionation and accelerated partial-breast irradiation (APBI) regimens. This paper reviews existing retrospective and prospective data for breast reRT after BCS, APBI reRT outcomes and delivery at our institution and the need for a randomized controlled trial using shorter courses of radiation to better define patient selection for different reRT fractionation regimens.https://www.mdpi.com/1718-7729/30/1/88breast re-irradiationtoxicityoutcomeeligibility
spellingShingle Camille Hardy Abeloos
Juhi M. Purswani
Paulina Galavis
Allison McCarthy
Christine Hitchen
J. Isabelle Choi
Naamit K. Gerber
Different Re-Irradiation Techniques after Breast-Conserving Surgery for Recurrent or New Primary Breast Cancer
Current Oncology
breast re-irradiation
toxicity
outcome
eligibility
title Different Re-Irradiation Techniques after Breast-Conserving Surgery for Recurrent or New Primary Breast Cancer
title_full Different Re-Irradiation Techniques after Breast-Conserving Surgery for Recurrent or New Primary Breast Cancer
title_fullStr Different Re-Irradiation Techniques after Breast-Conserving Surgery for Recurrent or New Primary Breast Cancer
title_full_unstemmed Different Re-Irradiation Techniques after Breast-Conserving Surgery for Recurrent or New Primary Breast Cancer
title_short Different Re-Irradiation Techniques after Breast-Conserving Surgery for Recurrent or New Primary Breast Cancer
title_sort different re irradiation techniques after breast conserving surgery for recurrent or new primary breast cancer
topic breast re-irradiation
toxicity
outcome
eligibility
url https://www.mdpi.com/1718-7729/30/1/88
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