Polgár C, Fodor J, Major T, Breast-conserving treatment with partial or whole breast irradiation for low-risk invasive
breast carcinoma--5-year results of a randomized trial.Int J Radiat Oncol Biol Phys
. 2007
Nov 1;69(3):694-702.
National Institute of Oncology Budapest
(1998-2004)
•
258 pat. T1 N0-1
mic
G1-2, no lobular, EIC-, margins-,
•
FU 66m.
- 130 WBI 50 Gy
- 128 APBI
- 88 BT HDR 36.4 Gy (5.2 Gyx7)
- 40 electrons 50 Gy
•
Cosmesis good/excellent
63%
vs 77%
(p=0.009)
(
81%
HDR vs 70% e-
)
Update at 7 years .
•
Local failures:
3,3% vs 5,1%
(p=0,53)
•
Regional failure: 1,7% vs 1,6% (p= 0,99)
•
CSS
93,9% vs 96,2% (p=0,45)
•
OS
89,4% vs 91,7% (p=0,44)
Budapest phase III APBI
Same
control,
better
cosmesis
2007