Academic Journal

A Japanese prospective multi-institutional feasibility study on accelerated partial breast irradiation using interstitial brachytherapy: clinical results with a median follow-up of 26 months.

التفاصيل البيبلوغرافية
العنوان: A Japanese prospective multi-institutional feasibility study on accelerated partial breast irradiation using interstitial brachytherapy: clinical results with a median follow-up of 26 months.
المؤلفون: Nose, Takayuki, Otani, Yuki, Asahi, Shuuji, Tsukiyama, Iwao, Dokiya, Takushi, Saeki, Toshiaki, Fukuda, Ichirou, Sekine, Hiroshi, Shikama, Naoto, Kumazaki, Yu, Takahashi, Takao, Yoshida, Ken, Kotsuma, Tadayuki, Masuda, Norikazu, Yoden, Eisaku, Nakashima, Kazutaka, Matsumura, Taisei, Nakagawa, Shino, Tachiiri, Seiji, Moriguchi, Yoshio
المصدر: Breast Cancer (13406868); Nov2016, Vol. 23 Issue 6, p861-868, 8p
مستخلص: Background: A Japanese prospective multi-institutional feasibility study on accelerated partial breast irradiation using interstitial brachytherapy was performed. The first clinical results were reported with a median follow-up of 26 months. Patients and methods: Forty-six female breast cancer patients with positive hormone receptors and tumors ≤3 cm, pN0M0, completed the protocol treatment. After breast-conserving surgery and histological confirmation of negative surgical margins and pN0, brachytherapy applicators were implanted either postoperatively ( n = 45) or intraoperatively ( n = 1). High-dose-rate brachytherapy of 36 Gy/6 fractions was delivered. All clinical data were prospectively collected using case report forms and the Common Terminology Criteria for Adverse Events ver.3.0. Results: At the median follow-up of 26 months, no breast cancer recurrence of any type was observed. Sequelae ≥G2 were dermatitis (G2, 7 %), fibrosis (G2, 11 %; G3, 4 %), fracture (G2, 2 %), pain (G2, 7 %; G3, 2 %), and soft tissue necrosis (G2, 6 %). Cosmetic outcomes evaluated by excellent/good scores were 100 % at pre-therapy ( n = 46), 94 % at 12 months ( n = 46), and 81 % at 24 months ( n = 36), respectively. Conclusions: Disease control and sequelae were satisfactory due to the strict eligibility and protocol-defined treatment parameters. The cosmetic outcomes were comparable to those of previous Japanese breast-conserving therapy series. [ABSTRACT FROM AUTHOR]
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قاعدة البيانات: Complementary Index
الوصف
تدمد:13406868
DOI:10.1007/s12282-015-0652-5