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Are the American Society for Radiation Oncology guidelines accurate predictors of recurrence in early stage breast cancer patients treated with balloon-based brachytherapy?
Journal article   Open access   Peer reviewed

Are the American Society for Radiation Oncology guidelines accurate predictors of recurrence in early stage breast cancer patients treated with balloon-based brachytherapy?

Moira K Christoudias, Abigail E Collett, Tari S Stull, Edward J Gracely, Thomas G Frazier and Andrea V Barrio
International journal of surgical oncology, v 2013, pp 829050-7
2013
PMID: 24382996
url
https://doi.org/10.1155/2013/829050View
Published, Version of Record (VoR) Open

Abstract

Risk Assessment - methods Practice Guidelines as Topic - standards United States Humans Middle Aged Risk Factors Brachytherapy - methods Treatment Outcome Disease-Free Survival Breast Neoplasms - radiotherapy Societies, Medical Female Neoplasm Recurrence, Local - epidemiology Retrospective Studies Radiation Oncology - standards Risk Assessment - standards
The American Society for Radiation Oncology (ASTRO) consensus statement (CS) provides guidelines for patient selection for accelerated partial breast irradiation (APBI) following breast conserving surgery. The purpose of this study was to evaluate recurrence rates based on ASTRO CS groupings. A single institution review of 238 early stage breast cancer patients treated with balloon-based APBI via balloon based brachytherapy demonstrated a 4-year actuarial ipsilateral breast tumor recurrence (IBTR) rate of 5.1%. There were no significant differences in the 4-year actuarial IBTR rates between the "suitable," "cautionary," and "unsuitable" ASTRO categories (0%, 7.2%, and 4.3%, resp., P = 0.28). ER negative tumors had higher rates of IBTR than ER positive tumors. The ASTRO groupings are poor predictors of patient outcomes. Further studies evaluating individual clinicopathologic features are needed to determine the safety of APBI in higher risk patients.

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Oncology
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