[The place of radiotherapy]

Abstract

Radiation therapy (RT) is a key component of the management of elderly breast cancer patients. However, level I evidence in elderly patients is limited. Patient selection should include comorbidities and geriatric assessment. Advances in radiation planning and delivery are improving target coverage, reducing toxicity, and expanding treatment eligibility. Some alternative techniques, such as treatment in the lateral or prone position, may reduce the risk of toxicity. Shorter cycles of hypofractionated whole breast RT are safe and effective. In some cases, partial breast irradiation may be an option.

Keywords: breast cancer; cancer du sein; elderly; hypofractionation; hypofractionnement; radiotherapy; radiothérapie; safety; sujet âgé; sécurité.