Intraoperative Radiotherapy in the Treatment of Breast Cancer: A Review of the Evidence

The surgical treatment of early breast cancer has evolved from the removal of the entire breast and surrounding tissues (mastectomy) to the removal of the tumour together with a margin of healthy tissue (lumpectomy). Adjuvant radiotherapy, however, is still mainly given to the whole breast. Furtherm...

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Main Authors: Norman R. Williams, Katharine H. Pigott, Mohammed R. S. Keshtgar
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:International Journal of Breast Cancer
Online Access:http://dx.doi.org/10.4061/2011/375170
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author Norman R. Williams
Katharine H. Pigott
Mohammed R. S. Keshtgar
author_facet Norman R. Williams
Katharine H. Pigott
Mohammed R. S. Keshtgar
author_sort Norman R. Williams
collection DOAJ
description The surgical treatment of early breast cancer has evolved from the removal of the entire breast and surrounding tissues (mastectomy) to the removal of the tumour together with a margin of healthy tissue (lumpectomy). Adjuvant radiotherapy, however, is still mainly given to the whole breast. Furthermore, external beam radiotherapy is often given several months after initial surgery and requires the patient to attend the radiotherapy centre daily for several weeks. A single fraction of radiotherapy given during surgery directly to the tumour bed (intraoperative radiotherapy) avoids these problems. The rationale and level-1 evidence for the safety and efficacy of the technique are reviewed.
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series International Journal of Breast Cancer
spelling doaj-art-f0014be3017b46a086034061b948ca5f2025-02-03T01:23:56ZengWileyInternational Journal of Breast Cancer2090-31892011-01-01201110.4061/2011/375170375170Intraoperative Radiotherapy in the Treatment of Breast Cancer: A Review of the EvidenceNorman R. Williams0Katharine H. Pigott1Mohammed R. S. Keshtgar2Clinical Trials Group, Division of Surgery and Interventional Science, University College London (UCL) Medical School, Archway Campus, London, N19 5LW, UKRadiotherapy Department, Royal Free Hospital, London NW3 2QG, UKDepartment of Surgery, Royal Free Hospital, London NW3 2QG, UKThe surgical treatment of early breast cancer has evolved from the removal of the entire breast and surrounding tissues (mastectomy) to the removal of the tumour together with a margin of healthy tissue (lumpectomy). Adjuvant radiotherapy, however, is still mainly given to the whole breast. Furthermore, external beam radiotherapy is often given several months after initial surgery and requires the patient to attend the radiotherapy centre daily for several weeks. A single fraction of radiotherapy given during surgery directly to the tumour bed (intraoperative radiotherapy) avoids these problems. The rationale and level-1 evidence for the safety and efficacy of the technique are reviewed.http://dx.doi.org/10.4061/2011/375170
spellingShingle Norman R. Williams
Katharine H. Pigott
Mohammed R. S. Keshtgar
Intraoperative Radiotherapy in the Treatment of Breast Cancer: A Review of the Evidence
International Journal of Breast Cancer
title Intraoperative Radiotherapy in the Treatment of Breast Cancer: A Review of the Evidence
title_full Intraoperative Radiotherapy in the Treatment of Breast Cancer: A Review of the Evidence
title_fullStr Intraoperative Radiotherapy in the Treatment of Breast Cancer: A Review of the Evidence
title_full_unstemmed Intraoperative Radiotherapy in the Treatment of Breast Cancer: A Review of the Evidence
title_short Intraoperative Radiotherapy in the Treatment of Breast Cancer: A Review of the Evidence
title_sort intraoperative radiotherapy in the treatment of breast cancer a review of the evidence
url http://dx.doi.org/10.4061/2011/375170
work_keys_str_mv AT normanrwilliams intraoperativeradiotherapyinthetreatmentofbreastcancerareviewoftheevidence
AT katharinehpigott intraoperativeradiotherapyinthetreatmentofbreastcancerareviewoftheevidence
AT mohammedrskeshtgar intraoperativeradiotherapyinthetreatmentofbreastcancerareviewoftheevidence