Pre-OPerative accelerated radiotherapy for early stage breast cancer patients (POPART): A feasibility study.

Mulliez, Thomas; Miedema, Geertje; Van Parijs, Hilde; Hottat, Nathalie; Vassilieff, Maud; Gillet, Evy; Baeyens, Luc; Voordeckers, Mia et al. · Radiother Oncol · 2022

case_series · Level IV

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Abstract

Pre-operative 5-fraction breast radiotherapy followed by immediate breast-sparing surgery and sentinel node procedure was feasible in 14 patients with 15 clinical early-stage breast cancers. However wound problems occurred frequently and was documented in 5 of the 14 patients: 2 patients with a mastitis needing antibiotics, 2 patients developed a fistula with exudate needing antibiotics and local disinfection and 1 patient developed a fistula needing surgical reintervention. Other acute and late iatrogenic events were rather limited. Two patients had a pathological lymph node involvement, which underlines the importance to perform the sentinel node procedure before pre-operative radiotherapy.

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