Long-term results from the Contura multilumen balloon breast brachytherapy catheter phase 4 registry trial.
Identifieur interne : 000E22 ( PubMed/Curation ); précédent : 000E21; suivant : 000E23Long-term results from the Contura multilumen balloon breast brachytherapy catheter phase 4 registry trial.
Auteurs : Laurie W. Cuttino [États-Unis] ; Douglas W. Arthur [États-Unis] ; Frank Vicini [États-Unis] ; Dorin Todor [États-Unis] ; Thomas Julian [États-Unis] ; Nitai Mukhopadhyay [États-Unis]Source :
- International journal of radiation oncology, biology, physics [ 1879-355X ] ; 2014.
Descripteurs français
- KwdFr :
- Carcinome canalaire du sein (radiothérapie), Carcinome canalaire du sein (épidémiologie), Carcinome lobulaire (radiothérapie), Carcinome lobulaire (épidémiologie), Cathéters, Curiethérapie (), Curiethérapie (instrumentation), Femelle, Fractionnement de la dose d'irradiation, Humains, Hôpitaux à haut volume d'activité, Incidence, Récidive tumorale locale (épidémiologie), Résultat thérapeutique, Seconde tumeur primitive (épidémiologie), Survie sans rechute, Sérome (épidémiologie), Tumeurs du sein (radiothérapie), Tumeurs du sein (épidémiologie), Établissements de cancérologie, Études de suivi.
- MESH :
- radiothérapie : Carcinome canalaire du sein, Carcinome lobulaire, Tumeurs du sein.
- épidémiologie : Carcinome canalaire du sein, Carcinome lobulaire, Curiethérapie, Récidive tumorale locale, Seconde tumeur primitive, Sérome, Tumeurs du sein.
- Cathéters, Curiethérapie, Femelle, Fractionnement de la dose d'irradiation, Humains, Hôpitaux à haut volume d'activité, Incidence, Résultat thérapeutique, Survie sans rechute, Établissements de cancérologie, Études de suivi.
English descriptors
- KwdEn :
- Brachytherapy (instrumentation), Brachytherapy (methods), Breast Neoplasms (epidemiology), Breast Neoplasms (radiotherapy), Cancer Care Facilities, Carcinoma, Ductal, Breast (epidemiology), Carcinoma, Ductal, Breast (radiotherapy), Carcinoma, Lobular (epidemiology), Carcinoma, Lobular (radiotherapy), Catheters, Disease-Free Survival, Dose Fractionation, Female, Follow-Up Studies, Hospitals, High-Volume, Humans, Incidence, Neoplasm Recurrence, Local (epidemiology), Neoplasms, Second Primary (epidemiology), Seroma (epidemiology), Treatment Outcome.
- MESH :
- epidemiology : Breast Neoplasms, Carcinoma, Ductal, Breast, Carcinoma, Lobular, Neoplasm Recurrence, Local, Neoplasms, Second Primary, Seroma.
- instrumentation : Brachytherapy.
- methods : Brachytherapy.
- radiotherapy : Breast Neoplasms, Carcinoma, Ductal, Breast, Carcinoma, Lobular.
- Cancer Care Facilities, Catheters, Disease-Free Survival, Dose Fractionation, Female, Follow-Up Studies, Hospitals, High-Volume, Humans, Incidence, Treatment Outcome.
Abstract
To describe the long-term outcomes from a completed, multi-institutional phase 4 registry trial using the Contura multilumen balloon (CMLB) breast brachytherapy catheter to deliver accelerated partial breast irradiation (APBI) in patients with early-stage breast cancer.
DOI: 10.1016/j.ijrobp.2014.08.341
PubMed: 25442036
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pubmed:25442036Le document en format XML
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<term>Breast Neoplasms (radiotherapy)</term>
<term>Cancer Care Facilities</term>
<term>Carcinoma, Ductal, Breast (epidemiology)</term>
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<term>Carcinoma, Lobular (epidemiology)</term>
<term>Carcinoma, Lobular (radiotherapy)</term>
<term>Catheters</term>
<term>Disease-Free Survival</term>
<term>Dose Fractionation</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Hospitals, High-Volume</term>
<term>Humans</term>
<term>Incidence</term>
<term>Neoplasm Recurrence, Local (epidemiology)</term>
<term>Neoplasms, Second Primary (epidemiology)</term>
<term>Seroma (epidemiology)</term>
<term>Treatment Outcome</term>
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<term>Fractionnement de la dose d'irradiation</term>
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<term>Hôpitaux à haut volume d'activité</term>
<term>Incidence</term>
<term>Récidive tumorale locale (épidémiologie)</term>
<term>Résultat thérapeutique</term>
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<term>Survie sans rechute</term>
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<term>Tumeurs du sein (épidémiologie)</term>
<term>Établissements de cancérologie</term>
<term>Études de suivi</term>
</keywords>
<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Breast Neoplasms</term>
<term>Carcinoma, Ductal, Breast</term>
<term>Carcinoma, Lobular</term>
<term>Neoplasm Recurrence, Local</term>
<term>Neoplasms, Second Primary</term>
<term>Seroma</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Brachytherapy</term>
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<term>Carcinoma, Ductal, Breast</term>
<term>Carcinoma, Lobular</term>
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<term>Tumeurs du sein</term>
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<term>Curiethérapie</term>
<term>Récidive tumorale locale</term>
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<term>Sérome</term>
<term>Tumeurs du sein</term>
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<term>Catheters</term>
<term>Disease-Free Survival</term>
<term>Dose Fractionation</term>
<term>Female</term>
<term>Follow-Up Studies</term>
<term>Hospitals, High-Volume</term>
<term>Humans</term>
<term>Incidence</term>
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<term>Incidence</term>
<term>Résultat thérapeutique</term>
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<front><div type="abstract" xml:lang="en">To describe the long-term outcomes from a completed, multi-institutional phase 4 registry trial using the Contura multilumen balloon (CMLB) breast brachytherapy catheter to deliver accelerated partial breast irradiation (APBI) in patients with early-stage breast cancer.</div>
</front>
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<DateCreated><Year>2014</Year>
<Month>12</Month>
<Day>25</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>02</Month>
<Day>26</Day>
</DateCompleted>
<DateRevised><Year>2014</Year>
<Month>12</Month>
<Day>25</Day>
</DateRevised>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1879-355X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>90</Volume>
<Issue>5</Issue>
<PubDate><Year>2014</Year>
<Month>Dec</Month>
<Day>01</Day>
</PubDate>
</JournalIssue>
<Title>International journal of radiation oncology, biology, physics</Title>
<ISOAbbreviation>Int. J. Radiat. Oncol. Biol. Phys.</ISOAbbreviation>
</Journal>
<ArticleTitle>Long-term results from the Contura multilumen balloon breast brachytherapy catheter phase 4 registry trial.</ArticleTitle>
<Pagination><MedlinePgn>1025-9</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.ijrobp.2014.08.341</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0360-3016(14)04048-6</ELocationID>
<Abstract><AbstractText Label="PURPOSE" NlmCategory="OBJECTIVE">To describe the long-term outcomes from a completed, multi-institutional phase 4 registry trial using the Contura multilumen balloon (CMLB) breast brachytherapy catheter to deliver accelerated partial breast irradiation (APBI) in patients with early-stage breast cancer.</AbstractText>
<AbstractText Label="METHODS AND MATERIALS" NlmCategory="METHODS">Three hundred forty-two evaluable patients were enrolled by 23 institutions between January 2008 and February 2011. All patients received 34 Gy in 10 fractions, delivered twice daily. Rigorous target coverage and normal tissue dose constraints were observed.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">The median follow-up time was 36 months (range, 1-54 months). For the entire patient cohort of 342 patients, 10 patients experienced an ipsilateral breast tumor recurrence (IBTR). Eight of these IBTR were classified as true recurrences/marginal miss (TRMM), and 2 were elsewhere failures (EF). Local recurrence-free survival was 97.8% at 3 years. For the entire cohort, 88% of patients had good to excellent overall cosmesis. The overall incidence of infection was 8.5%. Symptomatic seroma was reported in only 4.4% of patients. A separate analysis was performed to determine whether improved outcomes would be observed for patients treated at high-volume centers with extensive brachytherapy experience. Three IBTR were observed in this cohort, only 1 of which was classified as a TRMM. Local recurrence-free survival at high-volume centers was 98.1% at 3 years. Overall cosmetic outcome and toxicity were superior in patients treated at high-volume centers. In these patients, 95% had good to excellent overall cosmesis. Infection was observed in only 2.9% of patients, and symptomatic seroma was reported in only 1.9%.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Use of the CMLB for APBI delivery is associated with acceptable long-term local control and toxicity. Local recurrence-free survival was 97.8% at 3 years. Significant (grade 3) toxicity was uncommon, and no grade 4 toxicity was observed. Treatment at high-volume centers was associated with decreased late toxicity.</AbstractText>
<CopyrightInformation>Copyright © 2014 Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Cuttino</LastName>
<ForeName>Laurie W</ForeName>
<Initials>LW</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia. Electronic address: lcuttino@mcvh-vcu.edu.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Arthur</LastName>
<ForeName>Douglas W</ForeName>
<Initials>DW</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Vicini</LastName>
<ForeName>Frank</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>Michigan Healthcare Professionals/21st Century Onoclogy, Farmington Hills, Michigan.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Todor</LastName>
<ForeName>Dorin</ForeName>
<Initials>D</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Julian</LastName>
<ForeName>Thomas</ForeName>
<Initials>T</Initials>
<AffiliationInfo><Affiliation>Allegheny Hospital, Temple School of Medicine, Pittsburgh, Pennsylvania.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Mukhopadhyay</LastName>
<ForeName>Nitai</ForeName>
<Initials>N</Initials>
<AffiliationInfo><Affiliation>Department of Radiation Oncology, Virginia Commonwealth University, Richmond, Virginia.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<DataBankList CompleteYN="Y"><DataBank><DataBankName>ClinicalTrials.gov</DataBankName>
<AccessionNumberList><AccessionNumber>NCT00699101</AccessionNumber>
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</DataBank>
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<ArticleDate DateType="Electronic"><Year>2014</Year>
<Month>10</Month>
<Day>13</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Int J Radiat Oncol Biol Phys</MedlineTA>
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<ISSNLinking>0360-3016</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName UI="D001918" MajorTopicYN="N">Brachytherapy</DescriptorName>
<QualifierName UI="Q000295" MajorTopicYN="N">instrumentation</QualifierName>
<QualifierName UI="Q000379" MajorTopicYN="Y">methods</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D001943" MajorTopicYN="N">Breast Neoplasms</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000532" MajorTopicYN="Y">radiotherapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D002173" MajorTopicYN="N">Cancer Care Facilities</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018270" MajorTopicYN="N">Carcinoma, Ductal, Breast</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000532" MajorTopicYN="Y">radiotherapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018275" MajorTopicYN="N">Carcinoma, Lobular</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
<QualifierName UI="Q000532" MajorTopicYN="Y">radiotherapy</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D057785" MajorTopicYN="N">Catheters</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D018572" MajorTopicYN="N">Disease-Free Survival</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D019583" MajorTopicYN="N">Dose Fractionation</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D005500" MajorTopicYN="N">Follow-Up Studies</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D061847" MajorTopicYN="N">Hospitals, High-Volume</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D015994" MajorTopicYN="N">Incidence</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D009364" MajorTopicYN="Y">Neoplasm Recurrence, Local</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016609" MajorTopicYN="N">Neoplasms, Second Primary</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D049291" MajorTopicYN="N">Seroma</DescriptorName>
<QualifierName UI="Q000453" MajorTopicYN="N">epidemiology</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName UI="D016896" MajorTopicYN="N">Treatment Outcome</DescriptorName>
</MeshHeading>
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