Abstract
Summary: Aims: Breast cancer is the most frequent secondary tumor in young women previously treated with mantle radiation for Hodgkin's disease. Prior therapeutic radiation to the breast region is considered an absolute contraindication to breast conservative surgery, and mastectomy is considered the treatment of choice. We performed a retrospective review to assess the potential of performing breast conservative surgery and intraoperative radiotherapy with electrons (ELIOT), in these patients. Methods and results: Forty-three patients affected by early breast cancer, previously treated with mantle radiation for malignant lymphoma, who underwent breast conservative surgery and ELIOT, were identified in our institution. Median age at diagnosis of lymphoma was 26 years (49% were less than 25). Median interval between lymphoma and breast cancer occurrence was 19 years. A total dose of 21 Gy (prescribed at 90% isodose) in 39 patients (91%), of 17 Gy (prescribed at 100% isodose) in 1 patient and 18 Gy (prescribed at 90% isodose), was delivered. ELIOT was well tolerated in all patients without any unusual acute or late reactions. After a median follow-up of 52 months, local recurrence occurred in 9% of the patients and metastases in 7% patients. Conclusion: In patients previously treated for lymphoma, partial breast irradiation, and in particular ELIOT, permits breast conservative surgery without acute local complications, decreasing the number of avoidable mastectomies.
| Original language | English |
|---|---|
| Journal | Breast |
| Volume | 20 |
| Issue number | SUPPL. 3 |
| DOIs | |
| Publication status | Published - Oct 2011 |
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Keywords
- Breast cancer
- ELIOT
- Hodgkin's disease
- Intraoperative radiotherapy
- Lymphoma
- Partial breast irradiation
ASJC Scopus subject areas
- Surgery
Cite this
Local therapy for breast cancer in malignant lymphoma survivors. / Intra, Mattia; Mattar, Denise; Sangalli, Claudia; Rotmensz, Nicole; Viale, Giuseppe; Galimberti, Viviana; Luini, Alberto; Veronesi, Paolo; Colleoni, Marco; Zurrida, Stefano; Orecchia, Roberto; Veronesi, Umberto.
In: Breast, Vol. 20, No. SUPPL. 3, 10.2011.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Local therapy for breast cancer in malignant lymphoma survivors
AU - Intra, Mattia
AU - Mattar, Denise
AU - Sangalli, Claudia
AU - Rotmensz, Nicole
AU - Viale, Giuseppe
AU - Galimberti, Viviana
AU - Luini, Alberto
AU - Veronesi, Paolo
AU - Colleoni, Marco
AU - Zurrida, Stefano
AU - Orecchia, Roberto
AU - Veronesi, Umberto
PY - 2011/10
Y1 - 2011/10
N2 - Summary: Aims: Breast cancer is the most frequent secondary tumor in young women previously treated with mantle radiation for Hodgkin's disease. Prior therapeutic radiation to the breast region is considered an absolute contraindication to breast conservative surgery, and mastectomy is considered the treatment of choice. We performed a retrospective review to assess the potential of performing breast conservative surgery and intraoperative radiotherapy with electrons (ELIOT), in these patients. Methods and results: Forty-three patients affected by early breast cancer, previously treated with mantle radiation for malignant lymphoma, who underwent breast conservative surgery and ELIOT, were identified in our institution. Median age at diagnosis of lymphoma was 26 years (49% were less than 25). Median interval between lymphoma and breast cancer occurrence was 19 years. A total dose of 21 Gy (prescribed at 90% isodose) in 39 patients (91%), of 17 Gy (prescribed at 100% isodose) in 1 patient and 18 Gy (prescribed at 90% isodose), was delivered. ELIOT was well tolerated in all patients without any unusual acute or late reactions. After a median follow-up of 52 months, local recurrence occurred in 9% of the patients and metastases in 7% patients. Conclusion: In patients previously treated for lymphoma, partial breast irradiation, and in particular ELIOT, permits breast conservative surgery without acute local complications, decreasing the number of avoidable mastectomies.
AB - Summary: Aims: Breast cancer is the most frequent secondary tumor in young women previously treated with mantle radiation for Hodgkin's disease. Prior therapeutic radiation to the breast region is considered an absolute contraindication to breast conservative surgery, and mastectomy is considered the treatment of choice. We performed a retrospective review to assess the potential of performing breast conservative surgery and intraoperative radiotherapy with electrons (ELIOT), in these patients. Methods and results: Forty-three patients affected by early breast cancer, previously treated with mantle radiation for malignant lymphoma, who underwent breast conservative surgery and ELIOT, were identified in our institution. Median age at diagnosis of lymphoma was 26 years (49% were less than 25). Median interval between lymphoma and breast cancer occurrence was 19 years. A total dose of 21 Gy (prescribed at 90% isodose) in 39 patients (91%), of 17 Gy (prescribed at 100% isodose) in 1 patient and 18 Gy (prescribed at 90% isodose), was delivered. ELIOT was well tolerated in all patients without any unusual acute or late reactions. After a median follow-up of 52 months, local recurrence occurred in 9% of the patients and metastases in 7% patients. Conclusion: In patients previously treated for lymphoma, partial breast irradiation, and in particular ELIOT, permits breast conservative surgery without acute local complications, decreasing the number of avoidable mastectomies.
KW - Breast cancer
KW - ELIOT
KW - Hodgkin's disease
KW - Intraoperative radiotherapy
KW - Lymphoma
KW - Partial breast irradiation
UR - http://www.scopus.com/inward/record.url?scp=80054864090&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=80054864090&partnerID=8YFLogxK
U2 - 10.1016/S0960-9776(11)70304-6
DO - 10.1016/S0960-9776(11)70304-6
M3 - Article
VL - 20
JO - Breast
JF - Breast
SN - 0960-9776
IS - SUPPL. 3
ER -