Hypofractionated Partial Breast Irradiation After Breast-conserving Surgery for Low-risk Breast Cancer Patients
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Breast Cancer
- Sponsor
- Fudan University
- Enrollment
- 220
- Locations
- 1
- Primary Endpoint
- The change of breast cosmetic outcome
- Status
- Completed
- Last Updated
- 11 months ago
Overview
Brief Summary
The study was designed to evaluate the feasibility and safety of hypofractionated partial breast irradiation after breast-conserving surgery for low-risk breast cancer patients.
Detailed Description
A total dose of 40.05Gy in 15 fractions was delivered to the tumor bed for each eligible breast cancer patients. The endpoints including loco-regional recurrence, cosmetic outcomes, and toxicities, were evaluated after treatment.
Investigators
Jinli Ma
Associate Professor of department of radiation oncology
Fudan University
Eligibility Criteria
Inclusion Criteria
- •Age≥ 50 years
- •Treated with breast conversing surgery and sentinel lymph node biopsy or axillary lymph node dissection
- •Negative surgical margins
- •Pathologically confirmed invasive breast cancer
- •A pathological T1N0M0 tumor -IHC: ER+/PR+/HER2-
- •Tumor bed is labeled with Titanium clips
- •Received adjuvant hormonal treatment
- •No adjuvant chemotherapy
- •Written informed consent.
Exclusion Criteria
- •Age\<50 years
- •Treated with neoadjuvant chemotherapy
- •Treated or being treated with chemotherapy
- •With severe comorbidity
- •Previous breast cancer or other malignant tumor history
- •Previous radiotherapy for breast or thorax
- •Medical contraindication for radiotherapy
- •Pregnant or nursing
Outcomes
Primary Outcomes
The change of breast cosmetic outcome
Time Frame: Baseline, and three years after the completion of radiation therapy
The breast cosmetic outcome was measured by Harvard 4 scale (poor, moderate, good, excellent) evaluation system
Secondary Outcomes
- Disease free survival(5 years)
- Ipsilateral breast tumor recurrence rate(5 years)
- Late complications(3 years)
- Acute radiation-induced toxicity assessed by CTCAE v4.0(3weeks, 5weeks,1 and 3 months after treatment beginning)
- Local-regional recurrence(5 years)
- Overall survival(5 years)