Is oncoplastic surgery a contraindication for accelerated partial breast radiation using the interstitial multicatheter brachytherapy method?

Roth, A.; Kauer-Dorner, Daniela; Resch, Alexandra; Schmid, Andreas; Thill, Marc; Niehoff, Peter; Melchert, Corinna; Berger, Daniel; Kovács, György

doi:10.1016/j.brachy.2013.09.003

Cited by 18 publications

(11 citation statements)

References 25 publications

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“…Postoperative APBI with multi-catheter-brachytherapy for selected patients with early breast cancer to date is the only radiooncological treatment method with duration of only 4-5 days for which there is level 1 evidence [1,4,60]. In addition to appropriate patient selection [13] and target definition [14,15,61], we consider that practical issues like the method of catheter insertion, dose optimization and quality assurance are of great importance and need to be standardized. The technical aspects and QA have until now been discussed only marginally in some US guidelines [17,62] and no European guidelines are available at the moment.…”

Section: Resultsmentioning

confidence: 99%

ESTRO-ACROP guideline: Interstitial multi-catheter breast brachytherapy as Accelerated Partial Breast Irradiation alone or as boost – GEC-ESTRO Breast Cancer Working Group practical recommendations

Strnad

Major

Polgár

et al. 2018

Radiotherapy and Oncology

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118

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Recent standards and guidelines for the use of APBI with different multi-catheter image-guided brachytherapy techniques have been defined. Different techniques are used to insert the catheters. Guidelines are mandatory to assure precise catheter insertion for coverage of the target volume and to guarantee high-quality dosimetry. The same rules apply for brachytherapy based boost irradiation for breast cancer after whole breast irradiation as well as for partial breast re-irradiation.

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Section: Resultsmentioning

confidence: 99%

ESTRO-ACROP guideline: Interstitial multi-catheter breast brachytherapy as Accelerated Partial Breast Irradiation alone or as boost – GEC-ESTRO Breast Cancer Working Group practical recommendations

Strnad

Major

Polgár

et al. 2018

Radiotherapy and Oncology

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118

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“…Two studies used APBI in lieu of WBI (Table 2) in patients who underwent oncoplastic BCS 37, 38. Roth et al investigated the feasibility and treatment results of interstitial multicatheter brachytherapy method after oncoplastic BCS 37 .…”

Section: Resultsmentioning

confidence: 99%

“…Roth et al investigated the feasibility and treatment results of interstitial multicatheter brachytherapy method after oncoplastic BCS 37 . The local recurrence was 0.7% upon applying a total pulse dose rate of 50.4 Gy or high dose rate of 32 Gy over 4 days, suggesting the potential feasibility of APBI using interstitial multicatheter brachytherapy method in considering alternatives to WBI in selected low-risk patients 37 . Massa et al investigated the use of IORT and conventionally fractionated external beam radiation after oncoplastic BCS 38 .…”

Section: Resultsmentioning

confidence: 99%

Oncoplastic breast surgery in the setting of breast-conserving therapy: A systematic review

Yoon¹,

Green²,

Kim

et al. 2016

Advances in Radiation Oncology

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Breast-conserving therapy (BCT), or breast-conserving surgery with adjuvant radiation therapy, has become a standard treatment alternative to mastectomy for women with early-stage breast cancer after many long-term studies have reported comparable rates of overall survival and local control. Oncoplastic breast surgery in the setting of BCT consists of various techniques that allow for an excision with a wider margin and a simultaneous enhancement of cosmetic sequelae, making it an ideal breast cancer surgery. Because of the parenchymal rearrangement that is routinely involved in oncoplastic techniques, however, the targeted tissue can be relocated, thus posing a challenge to localize the tumor bed for radiation planning. The goals of this systematic review are to address the challenges, outcomes, and cosmesis of oncoplastic breast surgery in the setting of BCT.

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“…The cooperation of imaging experts, pathologists, breast surgeons and IRT/EBRT experts offers the best possible treatment results. [25][26][27] Nowadays, many minimally invasive procedures are spreading in the oncological management especially for elderly or frail patients. [28,29] There are different kinds of interventions to treat localized malignancies or oligometastatic disease.…”

Section: Discussionmentioning

confidence: 99%

Interventional Oncology: Should Interventional Radiotherapy (Brachytherapy) be Integrated into Modern Treatment Procedures?

Kovács¹

2019

TJ Oncol

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The delivery of a very high dose by radiotherapy to a dedicated target with minimal surrounding normal tissue dose is a challenging situation. From a radiotherapy point of view, in several anatomic situations, the most optimal method is the use of interventional radiotherapy (brachytherapy; IRT) alone or in combination with other established interventional tumor cell eliminating methods. METHODS First, Interventional Radiotherapy, Interventional Radiology, Interventional Endoscopy and Interventional Chemotherapy have the same aim of eliminating tumor tissue. Second, target definition and some IRT application techniques need multidisciplinary teamwork. RESULTS Multidisciplinary teams have the best potential to offer the best possible cure in localized solid tumors or in selected oligometastatic disease. Examples for this kind of service are given for H&N-, anal-, vaginal-, breast-, prostate cancers as well as in oligometastatic disease. The combined use of interventional tumor ablation techniques is demonstrated. CONCLUSION Interventional Oncology has the potential to improve the treatment results in localized solid cancers or in selected oligometastatic disease, and large workload Interventional Oncology Centers could have an important role in the patient service, in the education as well as in the clinical research.

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Is oncoplastic surgery a contraindication for accelerated partial breast radiation using the interstitial multicatheter brachytherapy method?

Cited by 18 publications

References 25 publications

ESTRO-ACROP guideline: Interstitial multi-catheter breast brachytherapy as Accelerated Partial Breast Irradiation alone or as boost – GEC-ESTRO Breast Cancer Working Group practical recommendations

ESTRO-ACROP guideline: Interstitial multi-catheter breast brachytherapy as Accelerated Partial Breast Irradiation alone or as boost – GEC-ESTRO Breast Cancer Working Group practical recommendations

Oncoplastic breast surgery in the setting of breast-conserving therapy: A systematic review

Interventional Oncology: Should Interventional Radiotherapy (Brachytherapy) be Integrated into Modern Treatment Procedures?

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