Bennion Nathan R, Baine Michael, Granatowicz Andrew, Wahl Andrew O
Department of Radiation Oncology, Fred & Pamela Buffet Cancer Center at the University of Nebraska Medical Center, Omaha, Nebraska, USA.
Nebraska Medicine, Omaha, Nebraska, USA.
Gland Surg. 2018 Dec;7(6):596-610. doi: 10.21037/gs.2018.11.05.
Breast conservation therapy exemplifies the tailoring of medicine in the care of patients with cancer. Akin to improvements in surgical approaches, accelerated partial breast irradiation (APBI) tailors the treatment volume and duration to the needs of well selected patients. Here, we examine the evidence supporting APBI as well as the lessons in patient selection, dose and delivery techniques. Examination of historical techniques and their associated outcomes will support more correct patient selection and treatment delivery in an era where we await the reports of several large prospective trials.
保乳治疗是癌症患者医疗个体化的典范。与手术方法的改进类似,加速部分乳腺照射(APBI)根据精心挑选患者的需求来调整治疗范围和疗程。在此,我们审视支持APBI的证据以及患者选择、剂量和照射技术方面的经验教训。在我们等待几项大型前瞻性试验报告的时代,审视历史技术及其相关结果将有助于更准确地进行患者选择和治疗实施。