Evidence map›Paper›PMID 37329461›Full record

ArticleJournal of cancer research and clinical oncology2023

One-week external beam partial breast irradiation: survival and toxicity outcomes.

Riccardo Ray Colciago, Eliana La Rocca, Carlotta Giandini, Alicia Rejas Mateo, Nice Bedini, Giuseppe Capri, Secondo Folli, Laura Lozza, Silvia Meroni, Pignoli Emanuele and 3 more

Abstract read
In one paragraph

Article in Journal of cancer research and clinical oncology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Trial
  2. Trial
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Riccardo Ray ColciagoSchool of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
Eliana La RoccaDepartment of Radiation Oncology, Azienda Ospedaliero Universitaria Integrata, P.le A. Stefani 1, 37126, Verona, Italy. Eliana.larocca1@gmail.com.
Carlotta GiandiniDepartment of Radiation Oncology, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Alicia Rejas MateoDepartment of Oncology and Hemato-Oncology, University of Milan, Milan, Italy.
Nice BediniDepartment of Radiation Oncology, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Giuseppe CapriMedical Oncology Department, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Secondo FolliBreast Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Laura LozzaDepartment of Radiation Oncology, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.
Silvia MeroniMedical Physics Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Pignoli EmanueleMedical Physics Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Tiziana RancatiData Science Unit, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy.
Stefano ArcangeliSchool of Medicine and Surgery, University of Milan Bicocca, Milan, Italy.
Maria Carmen De SantisDepartment of Radiation Oncology, Fondazione IRCCS Istituto Nazionale Tumori, Milan, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeAccording to ASTRO and ESTRO guidelines, external beam Partial Breast Irradiation (PBI) is a valid option for early-stage breast cancer patients. Nevertheless, there is lack of consensus about the best treatment schedule.

methodsWe retrospectively analysed data of female patients treated at our institution from 2013 to 2022 with adjuvant "one-week" partial breast irradiation. Clinical Target Volume (CTV) was an isotropic expansion of 15 mm from the tumour bed (identified as the breast tissue between surgical clips). The treatment schedule was 30 Gy delivered with Volumetric Modulated Arc Therapy in 5 daily fractions. The primary endpoint was Local Control (LC). Disease-Free Survival (DFS), Overall Survival (OS) and safety were secondary endpoints.

resultsThree hundred and forty-four patients with a median age of 69 (33-87) years were included in the study. After a median follow-up of 34 (7-105) months, 7 patients (2.0%) developed a local recurrence. Three-year LC, DFS and OS actuarial rates were 97.5% (95% CI 96.2%-98.8%), 95.7% (95% CI 94.2%-97.2%), and 96.9% (95% CI 95.7%-98.1%), respectively. Ten (2.9%) patients experienced grade 2 late toxicities. Five (1.5%) patients reported late cardiac major events. Three (0.9%) late pulmonary toxicities were detected. One hundred and five (30.5%) patients reported fat necrosis. Good or excellent cosmetic evaluation following the Harvard Scale was reported in 252 (96.9%) cases by the physicians, while in 241 (89.2%) cases by the patients.

conclusion"One-week" PBI is effective and safe, and this schedule is a valid option for highly selected early breast cancer patients.

Indexed as

Breast NeoplasmsMastectomy, SegmentalAgedAged, 80 and overBreastDisease-Free SurvivalFemaleHumansRetrospective StudiesTreatment OutcomeBreast cancerFeasibilityPartial breast irradiationRadiation therapy

Identifiers

PMID37329461
PMCPMC11797670

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.