Intraoperative radiation therapy for breast cancer: Technical notes Journal Article


Authors: Veronesi, U.; Gatti, G.; Luini, A.; Intra, M.; Orecchia, R.; Borgen, P.; Zelefsky, M.; McCormick, B.; Sacchini, V.
Article Title: Intraoperative radiation therapy for breast cancer: Technical notes
Abstract: Interest in intraoperative radiation therapy (IORT) for breast cancer is increasing as the possible benefits of this technique for the patient become apparent. The rationale for the use of this segmental radiation therapy in place of whole-breast irradiation is based on the finding that approximately 85% of breast relapses are confined to the same quadrant of the breast as the primary tumor. Phase I and II trials have demonstrated no increase in postsurgical complication rates following the use of single-dose IORT in localized breast cancers. Longer follow-up is needed to assess the cosmetic outcome. Clinical trials to evaluate the effectiveness of IORT in the treatment of breast cancer are currently under way at the European Institute of Oncology (EIO) at the University of Milan, Italy, and at Memorial Sloan-Kettering Cancer Center (MSKCC) in New York. Here we report the two different techniques in use in these trials.
Keywords: treatment outcome; surgical technique; clinical trial; cancer localization; cancer recurrence; united states; adjuvant therapy; cancer radiotherapy; radiation dose; radiotherapy, adjuvant; follow up; methodology; phase 2 clinical trial; breast cancer; radiotherapy dosage; pathology; breast neoplasms; radiation response; dose-response relationship, radiation; postoperative complication; instrumentation; intraoperative period; breast tumor; intermethod comparison; phase 1 clinical trial; radiotherapy, high-energy; linear accelerator; iridium 192; segmental mastectomy; mastectomy, segmental; electron beam; italy; clinical trials, phase ii; megavoltage radiotherapy; clinical trials, phase i; intraoperative radiation therapy; humans; human; female; article
Journal Title: Breast Journal
Volume: 9
Issue: 2
ISSN: 1075-122X
Publisher: Wiley Blackwell  
Date Published: 2003-03-01
Start Page: 106
End Page: 112
Language: English
DOI: 10.1046/j.1524-4741.2003.09208.x
PUBMED: 12603383
PROVIDER: scopus
DOI/URL:
Notes: Export Date: 12 September 2014 -- Source: Scopus
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MSK Authors
  1. Michael J Zelefsky
    754 Zelefsky
  2. Virgilio Sacchini
    146 Sacchini
  3. Patrick I Borgen
    253 Borgen
  4. Beryl McCormick
    371 McCormick