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Justification for the use of postmastectomy radiotherapy (PMRT) for patients with invasive breast cancer ,[object Object],[object Object],EBCTCG. Lancet 2005.
Effects of RT on breast cancer mortality and all cause mortality after breast conserving / mastectomy and axillary clearance EBCTCG. Lancet 2005.
[object Object],[object Object],P ostmastectomy radiotherapy (PMRT) for patients with invasive breast cancer
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Phase III randomized trials
Danish 82b Trial ,[object Object],[object Object],[object Object],[object Object],[object Object]
 
Results ,[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Overgaard et al. NEMJ 1997.
Danish 82c Trial ,[object Object],[object Object],[object Object]
Results ,[object Object],[object Object],[object Object],Overgaard et al. Lancet 1999.
[object Object],[object Object],Overgaard et al. Lancet 1999.
Danish 82b and 82c trials ,[object Object],[object Object],[object Object],[object Object]
Danish 82b and 82c trials ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
PMRT 1-3  L N+ with 8 or more   nodes  dissected- DBCG 82 b and 82 c trial   Overgaard et al. Radioth Oncol 2007. RT No RT p value LRR 4% 27% <0.001 Overall survival 57% 48% 0.03
British Columbia Trial ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
. Pierce L J JCO 2005 . British Columbia Trial  - OS
Limitations of Evidence ,[object Object],[object Object],[object Object],[object Object]
Cofactors associated with higher LRR in 1-3 lymph nodes positive and without radiotherapy ,[object Object],[object Object],[object Object],[object Object],[object Object]
Randomized trials comparing systemic therapy with systemic therapy plus PMRT -meta analysis ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object]
Summary of ASCO guidelines  ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Patterns of   Locoregional Failure in Patients With Operable Breast Cancer Treated by Mastectomy and Adjuvant Chemotherapy With or Without Tamoxifen and Without Radiotherapy: Results From Five National Surgical Adjuvant Breast and Bowel Project Randomized Clinical Trials   Taghian  A et al. JCO 2004
[object Object],[object Object],Patterns of   Locoregional Failure in Patients With Operable Breast Cancer Treated by Mastectomy and Adjuvant Chemotherapy With or Without Tamoxifen and Without Radiotherapy: Results From Five National Surgical Adjuvant Breast and Bowel Project Randomized Clinical Trials   Taghian  A et al. JCO 2004
Early Breast Cancer Trialists' Collaborative Group (EBCTCG) Effects of radiotherapy and of differences in the extent of surgery for early breast cancer on local recurrence and 15-year survival. An overview of the randomised trials Lancet 2005;366:2087-2106
Trials of post-mastectomy RT  Effect on LR and breast cancer mortality in N- pts Mastect + AC Mastect + AC Mastect + AC + RT Mastect + AC + RT
Trials of post-mastectomy RT  Effect on LR and breast cancer mortality in N+ pts Mastect + AC + RT Mastect + AC Mastect + AC + RT Mastect + AC
Main findings I ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Incidence of 2nd cancers and mortality from causes other than breast cancer
Breast cancer and overall mortality after RM/RT Mastect + AC Mastect + AC + RT Mastect + AC Mastect + AC + RT
Main findings II  RT can increase mortality for heart disease and  lung   cancer and incidence of contr a lateral breast cance r  which reduce its net beneficial effect on 15-y breast   cancer mortality. Nevertheless, RT produced reductions not only in 15-y breast cancer mortality but also in 15-y overall mortality.
Conclusions ,[object Object],[object Object],[object Object],[object Object]
Radiation  t echnique ,[object Object],[object Object],[object Object],[object Object]
Nodal  i rradiation ,[object Object],[object Object],[object Object],[object Object]
RT  c omplications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Reducing Risk ,[object Object],[object Object]
4D CT: sorting process Full respiratory cycle End-inspiration CT Image Sorting Program End-expiration 4 sec
Opto-electronic system IR flash IR flash Processing unit Motion analyzer Bunker Control room
Breath adapted radiotherapy D eep inspiration breath hold Free breathing Irradiated heart volume 8% Irradiated heart volume 1% AN Pedersen, Copenhagen
 

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BALKAN MCO 2011 - E. Vrdoljak - Locoregional therapy in LABC

  • 1.
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  • 3. Effects of RT on breast cancer mortality and all cause mortality after breast conserving / mastectomy and axillary clearance EBCTCG. Lancet 2005.
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  • 17. PMRT 1-3 L N+ with 8 or more nodes dissected- DBCG 82 b and 82 c trial Overgaard et al. Radioth Oncol 2007. RT No RT p value LRR 4% 27% <0.001 Overall survival 57% 48% 0.03
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  • 19. . Pierce L J JCO 2005 . British Columbia Trial - OS
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  • 31. Early Breast Cancer Trialists' Collaborative Group (EBCTCG) Effects of radiotherapy and of differences in the extent of surgery for early breast cancer on local recurrence and 15-year survival. An overview of the randomised trials Lancet 2005;366:2087-2106
  • 32. Trials of post-mastectomy RT Effect on LR and breast cancer mortality in N- pts Mastect + AC Mastect + AC Mastect + AC + RT Mastect + AC + RT
  • 33. Trials of post-mastectomy RT Effect on LR and breast cancer mortality in N+ pts Mastect + AC + RT Mastect + AC Mastect + AC + RT Mastect + AC
  • 34.
  • 35. Incidence of 2nd cancers and mortality from causes other than breast cancer
  • 36. Breast cancer and overall mortality after RM/RT Mastect + AC Mastect + AC + RT Mastect + AC Mastect + AC + RT
  • 37. Main findings II RT can increase mortality for heart disease and lung cancer and incidence of contr a lateral breast cance r which reduce its net beneficial effect on 15-y breast cancer mortality. Nevertheless, RT produced reductions not only in 15-y breast cancer mortality but also in 15-y overall mortality.
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  • 43. 4D CT: sorting process Full respiratory cycle End-inspiration CT Image Sorting Program End-expiration 4 sec
  • 44. Opto-electronic system IR flash IR flash Processing unit Motion analyzer Bunker Control room
  • 45. Breath adapted radiotherapy D eep inspiration breath hold Free breathing Irradiated heart volume 8% Irradiated heart volume 1% AN Pedersen, Copenhagen
  • 46.