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Radiotherapy

Hypofractionation for breast cancer—clinical implications

A recent landmark study reported the long-term results that compared a standard course of whole-breast irradiation (25 treatments over 5 weeks) with a hypofractionated course of radiation (16 treatments over 3.5 weeks) in patients with early-stage, node-negative breast cancer. The trial demonstrated equivalence of results with respect to overall survival, local control, toxicity and cosmetic outcomes.

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References

  1. Fisher, B. et al. Twenty-year follow-up of a randomized trial comparing total mastectomy, lumpectomy, and lumpectomy plus irradiation for the treatment of invasive breast cancer. N. Engl. J. Med. 347, 1233–1241 (2002).

    Article  Google Scholar 

  2. Veronesi, U. et al. Twenty-year follow-up of a randomized study comparing breast-conserving surgery with radical mastectomy for early breast cancer. N. Engl. J. Med. 347, 1227–1232 (2002).

    Article  Google Scholar 

  3. Whelan, T. et al. Randomized trial of breast irradiation schedules after lumpectomy for women with lymph node-negative breast cancer. J. Natl Cancer Inst. 94, 1143–1150 (2002).

    Article  Google Scholar 

  4. Whelan, T. J. et al. Long-term results of hypofractionated radiation therapy for breast cancer. N. Engl. J. Med. 362, 513–520 (2010).

    Article  CAS  Google Scholar 

  5. Owen, J. R. et al. Effect of radiotherapy fraction size on tumor control in patients with early-stage breast cancer after local tumor excision: long-term results of a randomised trial. Lancet Oncol. 7, 467–471 (2006).

    Article  Google Scholar 

  6. Yarnold, J. et al. Fractionation sensitivity and dose response of late adverse effects in the breast after radiotherapy for early breast cancer: long-term results of a randomised trial. Radiother. Oncol. 75, 9–17 (2005).

    Article  Google Scholar 

  7. Bentzen, S. M. et al. The UK Standardisation of Breast Radiotherapy (START) Trial B of radiotherapy hypofractionation for treatment of early breast cancer: a randomised trial. Lancet 371, 1098–1107 (2008).

    Article  CAS  Google Scholar 

  8. Bartelink, H. et al. Impact of a higher radiation dose on local control and survival in breast-conserving therapy of early breast cancer: 10-year results of the randomized boost versus no boost EORTC 22881-10882 trial. J. Clin. Oncol. 25, 3259–3265 (2007).

    Article  Google Scholar 

  9. Romestaing, P. et al. Role of a 10-Gy boost in the conservative treatment of early breast cancer: results of a randomized clinical trial in Lyon, France. J. Clin. Oncol. 15, 963–968 (1997).

    Article  CAS  Google Scholar 

  10. Smith, B. D. et al. Fractionation for whole breast irradiation: an American Society for Radiation Oncology (ASTRO) evidence-based guideline. Preprint at http://astro.org/Research/CommentForm/documents/FractionationDraft.pdf.

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Haffty, B. Hypofractionation for breast cancer—clinical implications. Nat Rev Clin Oncol 7, 304–306 (2010). https://doi.org/10.1038/nrclinonc.2010.65

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