Evidence map›Paper›PMID 37370849›Full record

ArticleCancers2023

Full-Dose Intraoperative Electron Radiotherapy for Early Breast Cancer: Evidence from a Single Center's Experience.

Antonio Stefanelli, Eleonora Farina, Edoardo Mastella, Sara Fabbri, Alessandro Turra, Simona Bonazza, Alessandro De Troia, Margherita K Radica, Paolo Carcoforo

Abstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. The evolution of targeted intra operative radiotherapy in early breast cancer.Journal of cancer research and clinical oncology · 2025
    Review
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

9 authors.

Antonio StefanelliDepartment of Radiation Oncology, University Hospital of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0003-4444-0668
Eleonora FarinaDepartment of Radiation Oncology, University Hospital of Ferrara, 44121 Ferrara, Italy.
Edoardo MastellaDepartment of Medical Physics, University Hospital of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0002-1913-3976
Sara FabbriDepartment of Medical Physics, University Hospital of Ferrara, 44121 Ferrara, Italy.
Alessandro TurraDepartment of Medical Physics, University Hospital of Ferrara, 44121 Ferrara, Italy.
Simona BonazzaDepartment of Surgery, University Hospital of Ferrara, 44121 Ferrara, Italy.
Alessandro De TroiaDepartment of Surgery, University Hospital of Ferrara, 44121 Ferrara, Italy.
Margherita K RadicaDepartment of Surgery, University Hospital of Ferrara, 44121 Ferrara, Italy.ORCID 0000-0001-6592-9193
Paolo CarcoforoDepartment of Surgery, University Hospital of Ferrara, 44121 Ferrara, Italy.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

To evaluate the clinical response rate and cosmetic outcome after full-dose intraoperative electron radiotherapy (IOERT) in early breast cancer (BC) treated with conserving surgery. Inclusion criteria were: >60 years old, clinical tumor size ≤2 cm, luminal A carcinoma, patological negative lymph nodes, excluded lobular carcinoma histology. IOERT was delivered with a dose of 21 Gy at 90% isodose. Clinical, cosmetic and/or instrumental follow-up were performed 45 days after IOERT, 6 months after the first check, and every 12 months thereafter. Acute and late toxicities were assessed with the CTCAE v.4.03 and EORTC-RTOG scales, respectively. Cosmetic outcome was evaluated using the Harvard/NSABO/RTOG Breast Cosmesis Grading Scale. Overall, 162 consecutive patients were included in this analysis (median follow-up: 54 months, range: 1-98 months). The overall response rate was 97.5% (CI 95%: 0.93-0.99%). Locoragional relapse occurred in 2.5% of patients. No patient showed distant metastases. No patient showed radiation-related acute complications, with 3.7% showing late G2-3 toxicity. Only 3.7% of patients showed poor cosmetic results. Our data confirmed that IOERT is a feasible and valid therapeutic option in low-risk BC patients treated with lumpectomy. A low local recurrence rate combined with good cosmetic results validates the settings of our operative method in routinely clinical practice.

Indexed as

breast cancerearly stageintraoperative radiotherapy

Identifiers

PMID37370849
PMCPMC10296501

What OpenQuestion holds

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Registered trials

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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.