Recent advances progress in radiotherapy for breast cancer after breast-conserving surgery: a review

Front Oncol. 2023 Aug 21:13:1195266. doi: 10.3389/fonc.2023.1195266. eCollection 2023.

Abstract

Adjuvant radiotherapy after breast-conserving surgery has become an integral part of the treatment of breast cancer. In recent years, the development of radiotherapy technology has made great progress in this field, including the comparison of the curative effects of various radiotherapy techniques and the performance of the segmentation times. The choice of radiotherapy technology needs to be co-determined by clinical evidence practice and evaluated for each individual patient to achieve precision radiotherapy. This article discusses the treatment effects of different radiotherapy, techniques, the risk of second cancers and short-range radiation therapy techniques after breast-conserving surgery such as hypo fractionated whole breast irradiation and accelerated partial breast irradiation. The choice of radiotherapy regimen needs to be based on the individual condition of the patient, and the general principle is to focus on the target area and reduce the irradiation of the normal tissues and organs. Short-range radiotherapy and hypofractionated are superior to conventional radiotherapy and are expected to become the mainstream treatment after breast-conserving surgery.

Keywords: accelerated partial breast irradiation; breast cancer; breast-conserving surgery; hypofractionated whole breast irradiation; radiotherapy.

Publication types

  • Review