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Regional Nodal Irradiation in Early-Stage Breast Cancer

by Olivotto, Ivo A , Ackerman, Ida , Levine, Mark N , Rousseau, Pierre , Murray, Yvonne , Chen, Bingshu E , Chafe, Susan , Pritchard, Kathleen I , Chapman, Judy-Anne W , Craighead, Peter , Gelmon, Karen , Fortin, Andre , Bowen, Julie , Parulekar, Wendy R , Chua, Boon H , Nolan, Maureen C , Manchul, Lee , Whelan, Timothy J , McCready, David R , Vallis, Katherine A , Nabid, Abdenour , Pierce, Lori J , White, Julia R

in Adult / Aged / Aged, 80 and over / Antineoplastic Agents - therapeutic use / Biopsy / Breast cancer / Breast Neoplasms - mortality / Breast Neoplasms - radiotherapy / Breast Neoplasms - therapy / Clavicle / Clinical outcomes / Combined Modality Therapy / Female / Follow-Up Studies / Humans / Lymph nodes / Lymphatic Metastasis - radiotherapy / Lymphatic system / Lymphedema / Mastectomy, Segmental / Middle Aged / Neoplasm Recurrence, Local - prevention & control / Neoplasm Staging / Pneumonitis / Radiation / Radiation Dosage / Radiation therapy / Radiotherapy - adverse effects / Risk / Sentinel Lymph Node Biopsy / Surgery / Survival / Survival Analysis

2015

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Regional Nodal Irradiation in Early-Stage Breast Cancer

2015

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2015

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Journal Article

Regional Nodal Irradiation in Early-Stage Breast Cancer

Olivotto, Ivo A,

Ackerman, Ida,

Levine, Mark N,

Rousseau, Pierre,

Murray, Yvonne,

Chen, Bingshu E,

Chafe, Susan,

Pritchard, Kathleen I,

Chapman, Judy-Anne W,

Craighead, Peter,

Gelmon, Karen,

Fortin, Andre,

Bowen, Julie,

Parulekar, Wendy R,

Chua, Boon H,

Nolan, Maureen C,

Manchul, Lee,

Whelan, Timothy J,

McCready, David R,

Vallis, Katherine A,

Nabid, Abdenour,

Pierce, Lori J,

White, Julia R

2015

Overview

Women with breast cancer who are undergoing breast-conserving surgery were assigned to receive whole-breast irradiation with or without regional nodal irradiation. At 10 years, disease-free survival in the nodal-irradiation group was improved but overall survival was not. Many women with early-stage breast cancer undergo breast-conserving surgery followed by whole-breast irradiation, which reduces the rate of local recurrence. 1 – 3 Radiotherapy to the chest wall and regional lymph nodes, termed regional nodal irradiation, which is commonly used after mastectomy in women with node-positive breast cancer who are treated with adjuvant systemic therapy, reduces locoregional and distant recurrence and improves overall survival. 4 – 6 An unanswered question is whether the addition of regional nodal irradiation to whole-breast irradiation after breast-conserving surgery has the same effect. Whole-breast irradiation may involve irradiation of the lower axillary and internal mammary lymph nodes. 7 However, regional . . .

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Publisher

Massachusetts Medical Society

Subject

Adult

/ Aged

/ Aged, 80 and over

/ Antineoplastic Agents - therapeutic use

/ Biopsy

/ Breast cancer

/ Breast Neoplasms - mortality