Role of the radiotherapy boost on local control in ductal carcinoma in situ.

Int J Surg Oncol

Département d'Oncologie Radiothérapie, CRLC Val d'Aurelle-Paul Lamarque, 34298 Montpellier, France.

Published: August 2012

AI Article Synopsis

  • * Using whole breast radiation after breast-conserving surgery for DCIS greatly lowers the chances of it returning, and results from this method are comparable to those from mastectomy in cases without widespread disease.
  • * There are ongoing studies looking into the effectiveness of adding an extra radiation boost to the surgical area for patients with DCIS, and this paper provides an update on the existing research in this area.

Article Abstract

Ductal carcinoma in situ of the breast is associated with low mortality rates, but local relapse is a matter of concern in this disease. Risk factors for local relapse include young age, close or positive margins, and tumor necrosis. Whole breast irradiation following breast-conserving surgery for ductal carcinoma in situ significantly reduces the risk of local relapse as compared to breast-conserving surgery alone. Studies point to similar outcomes between breast-conserving surgery plus radiotherapy and mastectomy, in the absence of extensive disease. A complementary boost to the surgical bed improves outcomes for patients with invasive breast cancer. However, the effect of this strategy has never been prospectively reported for ductal carcinoma in situ. Two randomized controlled trials assessing this issue are ongoing. This paper represents an update on available literature about radiotherapy for DCIS with a special focus on the role of a radiotherapy boost to the tumor bed.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3332211PMC
http://dx.doi.org/10.1155/2012/748196DOI Listing

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