Contemporary Guidelines in Whole-Breast Irradiation: An Alternative Perspective

Abram Recht; Heather McArthur; Lawrence J Solin; Rahul Tendulkar; Alexander Whitley; Armando Giuliano

doi:10.1016/j.ijrobp.2018.10.014

Contemporary Guidelines in Whole-Breast Irradiation: An Alternative Perspective

Int J Radiat Oncol Biol Phys. 2019 Jul 1;104(3):567-573. doi: 10.1016/j.ijrobp.2018.10.014. Epub 2018 Oct 23.

Authors

Abram Recht¹, Heather McArthur², Lawrence J Solin³, Rahul Tendulkar⁴, Alexander Whitley⁵, Armando Giuliano⁶

Affiliations

¹ Department of Radiation Oncology, Beth Israel Deaconess Medical Center, Boston, Massachusetts. Electronic address: arecht@bidmc.harvard.edu.
² Samuel Oschin Comprehensive Cancer Institute, Cedars-Sinai Medical Center, Beverly Hills, California.
³ Department of Radiation Oncology, Albert Einstein Medical Center, Philadephia, Pennsylvania.
⁴ Department of Radiation Oncology, Cleveland Clinic Taussig Cancer Center, Cleveland, Ohio.
⁵ Central Alabama Radiation Oncology, Montgomery, Alabama.
⁶ Department of Surgery, Cedars-Sinai Medical Center, Beverly Hills, California.

PMID: 30366007
DOI: 10.1016/j.ijrobp.2018.10.014

Abstract

The American Society for Radiation Oncology produced an evidence-based guideline on whole-breast radiation therapy for patients with early-stage invasive breast cancer and ductal carcinoma in situ. This commentary points out areas where we believe the data are too limited to make definitive recommendations and where alternative approaches are supported by evidence.

Publication types

Review

MeSH terms

Age Factors
Aged
Breast / radiation effects
Breast Neoplasms / chemistry
Breast Neoplasms / pathology
Breast Neoplasms / radiotherapy*
Dose Fractionation, Radiation
Female
Heart / radiation effects
Humans
Life Expectancy
Mammaplasty
Middle Aged
Neoplasm Grading
Organs at Risk / radiation effects
Practice Guidelines as Topic*
Radiation Dose Hypofractionation*
Radiotherapy, Adjuvant
Randomized Controlled Trials as Topic