AI Article Synopsis
- The study evaluated the clinical practice of radiotherapy for early-stage breast cancer in China, following breast-conserving surgery.
- A survey in 2009 revealed that 34.4% of responding radiotherapy departments implemented breast-conserving radiotherapy, with many using adjuvant chemotherapy as a common treatment combination.
- While most centers treated the whole breast, there were varying practices regarding irradiation of other regions, highlighting ongoing debates about optimal target areas for postoperative radiotherapy.
Article Abstract
Aims: The use of radiotherapy to treat early stage breast cancer following breast-conserving surgery has markedly increased. The study aimed to evaluate the clinical practice of radiotherapy in China.
Materials And Methods: A survey concerning the characteristics of breast-conserving radiotherapy for early stage breast cancer was distributed to all radiotherapy departments in mainland China in 2009. The results were analyzed.
Results: Three hundred and ninety-six departments replied (41.6%), and 328 (34.4%) launched breast-conserving radiotherapy. Adjuvant chemotherapy followed by radiotherapy was the most common combination and was performed in 55.2% of the responding centers. The median time from surgery to radiotherapy was 9 weeks. Three hundred and nineteen (97.3%) centers treated the whole breast, 273 (83.2%) the supraclavicular area, 138 (43.3%) the axilla, and 85 (26.8%) the internal mammary region; 97.5% (310/319) of all centers performed irradiation of the whole breast in all candidates. One hundred and fourteen (41.8%) treated the supraclavicular area, and 37 (26.8%) treated the axilla in 1-3 positive lymph nodes. Eighty-six (31.5%) and 40 (29.0%) performed the corresponding irradiation in N 2-3 patients. Fifty-six (72.9%) treated the internal mammary region for tumors of the center or inner quadrant. The conformal technique was used in 51.8% of the centers.
Conclusions: Although a consensus has been reached, debate still exists about the target of postoperative radiotherapy in early stage breast cancer.
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| http://dx.doi.org/10.1700/1660.18166 | DOI Listing |
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