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APBI using multicatheter
brachytherapy SHOULD be
offered for all low-risk breast
cancer patients with
•
Invasive ductal carcinoma
•
Age over 50
•
pT1 and pT2 <3cm
•
Hormonal receptors +
•
pN0
APBI: A NEW PARADIGM
Strnad V et al.Lancet. 2016 Jan 16;387(10015):229-38
This is a new paradigm: Low-risk cases do not need WBI
(and we should avoid to radiate unnecessary tissue and OAR)
633 cases treated in the APBI
arm:
•
41-50 y.o. : 91
•
Invasive lobular ca: 85
•
pT2 <3cm: 67
•
Grade 3: 57
•
Pure low risk DCIS: 36
•
Hormonal receptors -: 34
•
pN1 mic: 5