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State of the art in breast intraoperative electron radiation therapy after intraoperative ultrasound introduction Cover

State of the art in breast intraoperative electron radiation therapy after intraoperative ultrasound introduction

Open Access
|May 2021

Figures & Tables

Figure 1

First case of breast intraoperative electron radiation therapy (B-IOERT) in Trieste using the dedicated electron beam accelerator Mobetron by IntraOp® Company.
First case of breast intraoperative electron radiation therapy (B-IOERT) in Trieste using the dedicated electron beam accelerator Mobetron by IntraOp® Company.

Figure 2A

The shielding disk positioned beneath the tumor bed during the operation.
The shielding disk positioned beneath the tumor bed during the operation.

Figure 2B

The disk provided by IntraOp® Company, made up of three stacked layers.
The disk provided by IntraOp® Company, made up of three stacked layers.

Figure 3

Post processing analysis of the dose distribution measured on film.
Post processing analysis of the dose distribution measured on film.

Acute toxicity of radiotherapy in the two groups

Group 1 (n = 38)Group 2 (n = 72)Total (n = 110)
Grade 023 (60.5%)36 (50%)59 (53.6%)
Grade 18 (21.1%)28 (38.9%)36 (32.7%)
Grade 26 (15.8%)7 (9.7%)13 (11.8%)
Grade X1 (2.6%)1 (1.4%)2 (1.9%)
Grade 1−214 (36.8%)35 (48.6%)49 (44.5%)

Late toxicity of radiotherapy in the two groups

Group 1 (n = 38)Group 2 (n = 72)Total (n = 110)
Grade 022 (57.9%)43 (59.7%)65 (59.1%)
Grade 112 (31.6%)24 (33.3%)36 (32.7%)
Grade 23 (7.9%)3 (4.2%)6 (5.5%)
Grade X1 (2.6%)2 (2.8%)3 (2.7%)
Grade 1−215 (39.5%)27 (37.5%)42(38.2%)

Description of the population

VariablesAll cohort (n = 110)Group 1 (n = 38)Group 2 (n = 72)p-value
Age (years) Median (range)67 (43−85)67 (48−80)67 (43−85)p = 0.51
Clinical stage
    cT1a N02 (1.8%)1 (2.6%)1 (1.4%)
    cT1b N047 (42.8%)20 (52.6%)27 (37.5%)
    cT1c N059 (53.6%)17 (44.8%)42 (58.3%)p = 0.42
    cT1b N11 (0.9%)0 (0.0%)1 (1.4%)
    cT2 N01 (0.9%)0 (0.0%)1 (1.4%)
Histological type
    Ductal carcinoma in situ (DCIS)1 (0.9%)1 (2.6%)0 (0.0%)
    Invasive ductal carcinoma70 (63.6%)26 (68.4%)44 (61.1%)p = 0.46
    Invasive lobular carcinoma19 (17.3%)5 (13.2%)14 (19.45%)
    Others20 (18.2%)6 (15.8%)14 (19.45%)
Multifocal disease6 (5.4%)4 (10.5%)2 (2.8%)p = 0.21
Pathological Stage pT
    pTis1 (0.9%)1 (2.6%)0 (0.0%)
    pT1a3 (2.7%)0 (0.0%)3 (4.2%)
    pT1b41 (37.3%)16 (42.1%)25 (34.7%)p=0.40
    pT1c59 (53.6%)20 (52.6%)39 (54.2%)
    pT26 (5.5%)1 (2.6%)5 (6.9%)
Pathological Stage pN
    pN088 (80.0%)32 (84.2%)56 (77.8%)
    pN1mi7 (6.4%)3 (7.9%)4 (5.6%)p=0.71
    pN1a14 (12.7%)3 (7.9%)11 (15.3%)
    pN31 (0.9%)0 (0.0%)1 (1.4%)
Grading
    G115 (13.7%)7(18.4%)8 (11.1%)
    G268 (61.8%)24 (63.2%)44 (61.1%)p = 0.67
    G321 (19.1%)6 (15.8%)15 (20.8%)
    Gx6 (5.4%)1 (2.6%)5 (7%)
Adjuvant therapy

Calculated on 109 patients

    None2 (1.8%)0 (0.0%)2 (2.8%)
    Chemotherapy6 (5.5%)2 (5.4%)4 (5.6%)p = 0.92
    Endocrine therapy85 (78%)29 (78.4%)56 (77.7%)
    Chemotherapy + Endocrine therapy12 (11%)4 (10.8%)8 (11.1%)
    Chemotherapy + Trastuzumab4 (3.7%)2 (5.4%)2 (2.8%)
DOI: https://doi.org/10.2478/raon-2021-0023 | Journal eISSN: 1581-3207 | Journal ISSN: 1318-2099
Language: English
Page range: 333 - 340
Submitted on: Nov 12, 2020
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Accepted on: Apr 6, 2021
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Published on: May 16, 2021
In partnership with: Paradigm Publishing Services
Publication frequency: 4 issues per year

© 2021 Cristiana Vidali, Mara Severgnini, Gabriele Bellio, Fabiola Giudici, Vittorino Milan, Zaira Pellin, Sara Savatovic, Serena Scomersi, Gerd Fastner, Antonella Ciabattoni, Marina Bortul, published by Association of Radiology and Oncology
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.