The breast journal · 2011
ACR Appropriateness Criteria® conservative surgery and radiation--stage I and II breast carcinoma: expert panel on radiation oncology: breast.
Consensus StatementСтатьяКлинические рекомендацииНазвание и аннотация: Перевод в очереди
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Bellon Jennifer R, Harris Eleanor E R, Arthur Douglas W, Bailey Lisa, Carey Lisa, Goyal Sharad, Halyard Michele Y, Horst Kathleen C, Moran Meena S, MacDonald Shannon M, Haffty Bruce G, American College of Radiology
Аннотация
Breast conservation is a safe and effective alternative to mastectomy for the majority of women with early-stage breast cancer. Adjuvant radiation therapy lowers the risk of recurrence within the breast and also confers a survival benefit. Although acute side effects of radiation therapy are generally well tolerated; efforts are ongoing to minimize the long-term side effects of radiation, most prominently atherosclerotic heart disease. Efforts to minimize radiation therapy are also underway. They include omitting treatment altogether in the elderly and using accelerated, hypofractionated whole-breast irradiation, and accelerated partial-breast irradiation. Several randomized studies are ongoing to determine the efficacy, safety, and appropriate patients for these shorter treatments.