Postsurgical treatment of early-stage breast cancer with electronic brachytherapy: outcomes and health-related quality of life at 1 year
Patel, Rakesh R. ; Beitsch, Peter D. ; Nichols, Timothy D. ; Lorenzetti, John D. ; Wurzer, James C. ; Tucker, James C. ; Nunn, George W. ; Laduzinsky, Susan J. ; Kugler, Morris A. ; Simmons, Dwelvin L. ... show 10 more
Citations
Authors
Beitsch, Peter D.
Nichols, Timothy D.
Lorenzetti, John D.
Wurzer, James C.
Tucker, James C.
Nunn, George W.
Laduzinsky, Susan J.
Kugler, Morris A.
Simmons, Dwelvin L.
Gilligan, Michael S.
Roy, Tapan
Foley, Jonathon K.
Thropay, John P.
Odou, Mark William
Bornstein, Bruce A.
Tito, Elizabeth P.
Chadha, Manjeet
Boolbol, Susan K.
Lane, Steven C.
White, Julie G.
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UMass Chan Affiliations
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Keywords
Aged
Aged, 80 and over
*Brachytherapy
Breast Neoplasms
Carcinoma, Ductal, Breast
Carcinoma, Intraductal, Noninfiltrating
Female
Follow-Up Studies
Humans
Middle Aged
Neoplasm Grading
Neoplasm Invasiveness
Neoplasm Recurrence, Local
Prognosis
*Quality of Life
Registries
Survival Rate
Neoplasms
Oncology
Subject Area
Collections
Embargo Expiration Date
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Abstract
OBJECTIVES: This multicenter registry followed up patients with early-stage breast cancer treated with breast-conserving surgery and electronic brachytherapy (EBT). This report provides 1- and 2-year updates to the initial publication.
METHODS: Patients were of age 50 years or more with invasive carcinoma or ductal carcinoma in situ, tumor size
RESULTS: Of the 69 patients enrolled, 62 were evaluated at 1 year and 20 patients at 2 years after treatment. At 1 year, 28 (45.2%) patients reported adverse events that were possibly, probably, or definitely related to treatment. Most (90%) were grade 1: manageable and typical of radiation therapy. Four events were grade 2: induration/firmness (2), field contracture (1), and seroma (1). One event was grade 3: a draining fistula at the lumpectomy site due to residual effects of a breast infection at 1 month. No recurrences have been reported. Cosmetic ratings were excellent or good in 93.4% of patients at 1 year. Most patients (69%) were energetic most or all of the time. Most patients (69% to 98%) were not affected by individual symptoms of breast disease at 1 year. Generally patients who had an adverse event did not report the corresponding symptom on the quality-of-life questionnaire.
CONCLUSIONS: This registry followed up patients with early-stage breast cancer at 1 and 2 years after breast-conserving surgery and EBT. No recurrences have been reported, and adverse effects were acceptable.
Source
Am J Clin Oncol. 2013 Oct;36(5):430-5. doi: 10.1097/COC.0b013e31825493bb. Link to article on publisher's site
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Notes
At the time of publication, Bruce A. Bornstein was not affiliated yet with the University of Massachusetts Medical School.