open access

Vol 23, No 5 (2018)
Reviews
Published online: 2018-09-01
Submitted: 2017-07-19
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Synchronous bilateral breast cancer patients submitted to conservative treatment and brachytherapy – The experience of a service

Joana Pinheiro, Darlene Rodrigues, Pedro Fernandes, Alexandre Pereira, Lurdes Trigo
DOI: 10.1016/j.rpor.2018.06.004
·
Rep Pract Oncol Radiother 2018;23(5):322-330.

open access

Vol 23, No 5 (2018)
Reviews
Published online: 2018-09-01
Submitted: 2017-07-19

Abstract

Introduction

The incidence of breast carcinoma (BC) has increased in the last years. Between 2 and 12% of patients diagnosed with BC will develop bilateral breast carcinoma (BBC). The treatment of these carcinomas is more aggressive than unilateral BC.

Purpose

To perform a retrospective qualitative analysis of BBC patients whose treatment has included brachytherapy (BT) and to present a revised literature on this issue.

Material and methods

The cases of BBC whose treatment included brachytherapy were revised. The literature on this issue was refreshed.

Results

Five women, aged between 54 and 78 at the time of the diagnosis, submitted to conservative surgery followed by external radiotherapy (RT) with boost of BT or exclusive BT (APBI), in the IPO-P BT Service between 2003 and 2016.

Discussion

The patients with BBC have slightly higher rates of local recurrences, mostly in the tumor bed, where there is a higher risk of local recurrence. Patients treated with BT had lower rates of recurrences than those treated with photons and electrons.

Conclusions

BBC represents a complex challenge for doctors, because in some cases there is a tendency to use more aggressive treatments and, at the same time, it is not easy to achieve the timing for the correct treatment.

Abstract

Introduction

The incidence of breast carcinoma (BC) has increased in the last years. Between 2 and 12% of patients diagnosed with BC will develop bilateral breast carcinoma (BBC). The treatment of these carcinomas is more aggressive than unilateral BC.

Purpose

To perform a retrospective qualitative analysis of BBC patients whose treatment has included brachytherapy (BT) and to present a revised literature on this issue.

Material and methods

The cases of BBC whose treatment included brachytherapy were revised. The literature on this issue was refreshed.

Results

Five women, aged between 54 and 78 at the time of the diagnosis, submitted to conservative surgery followed by external radiotherapy (RT) with boost of BT or exclusive BT (APBI), in the IPO-P BT Service between 2003 and 2016.

Discussion

The patients with BBC have slightly higher rates of local recurrences, mostly in the tumor bed, where there is a higher risk of local recurrence. Patients treated with BT had lower rates of recurrences than those treated with photons and electrons.

Conclusions

BBC represents a complex challenge for doctors, because in some cases there is a tendency to use more aggressive treatments and, at the same time, it is not easy to achieve the timing for the correct treatment.

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Keywords

Bilateral breast carcinoma; Boost; Brachytherapy; APBI

About this article
Title

Synchronous bilateral breast cancer patients submitted to conservative treatment and brachytherapy – The experience of a service

Journal

Reports of Practical Oncology and Radiotherapy

Issue

Vol 23, No 5 (2018)

Pages

322-330

Published online

2018-09-01

DOI

10.1016/j.rpor.2018.06.004

Bibliographic record

Rep Pract Oncol Radiother 2018;23(5):322-330.

Keywords

Bilateral breast carcinoma
Boost
Brachytherapy
APBI

Authors

Joana Pinheiro
Darlene Rodrigues
Pedro Fernandes
Alexandre Pereira
Lurdes Trigo

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