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Radiation Therapy for Breast Cancer: American Society of Breast Surgeons Responds to San Antonio Breast Cancer Symposium Data

December 9, 2011

The American Society of Breast Surgeons suggests that the evidence in the MD Anderson study should be considered in pre-surgical counseling but is not strong enough to preclude the use of APBI in properly selected patients.

Columbia, MD (PRWEB) December 09, 2011

In a study presented on 12/7/2011 at the San Antonio Breast Cancer Symposium (âœPartial Breast Brachytherapy is Associated With Inferior Effectiveness and Increased Toxicity Compared to Whole Breast Irradiation in Older Patientsâ), physicians from the MD Anderson Cancer Center compared the 5-year results of accelerated partial breast irradiation (APBI) to whole-breast irradiation (WBI) in patients undergoing breast-conserving therapy. They observed higher rates of mastectomy (4% vs.2.2%) and of treatment-related complications in the APBI patients, differences which are statistically significant but small in absolute terms. The study comprises more than 130,000 patients’ Medicare claims data, but is retrospective and therefore cannot assure that the ABPI and the WBI patients were comparable in all other ways. In addition, because this is a claims database, it cannot be concluded that the additional mastectomies were necessarily performed because of a recurrence of cancer.

The American Society of Breast Surgeons (ASBrS) maintains a registry of 1440 patients treated by APBI with the MammosSite® balloon catheter device through 2004, and in numerous publications has observed 1) a 5-year local recurrence rate of

The American Society of Breast Surgeons suggests that the evidence in the MD Anderson study should be considered in pre-surgical counseling but is not strong enough to preclude the use of APBI in properly selected patients. As for all breast cancer treatments, we strongly support participation in clinical trials of APBI, including the prospective randomized NSABP/RTOG B-39, single-site protocols, or prospective registries, and we endorse continuous, long-term, outcomes-based monitoring of the results.

7 December 2011

The American Society of Breast Surgeons Executive Committee

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For the original version on PRWeb visit: http://www.prweb.com/releases/prweb2011/12/prweb9025941.htm


Source: prweb



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