The King is in the altogether: Radiation therapy after oncoplastic breast surgery

Orit Kaidar-Person; Birgitte Vrou Offersen; Trine Tramm; Peer Christiansen; Tine Engberg Damsgaard; Ashutosh Kothari; Philip Poortmans

doi:10.1016/j.breast.2023.103584

The King is in the altogether: Radiation therapy after oncoplastic breast surgery

Breast. 2023 Dec:72:103584. doi: 10.1016/j.breast.2023.103584. Epub 2023 Sep 25.

Authors

Orit Kaidar-Person¹, Birgitte Vrou Offersen², Trine Tramm³, Peer Christiansen⁴, Tine Engberg Damsgaard⁵, Ashutosh Kothari⁶, Philip Poortmans⁷

Affiliations

¹ Breast Radiation Unit, Oncology Institute, Sheba Tel Hashomer, Ramat Gan, Israel; Tel Aviv University, Israel. Electronic address: orit.kaiderperson@sheba.health.gov.il.
² Department of Experimental Clinical Oncology, Aarhus University Hospital, Denmark.
³ Department of Pathology, Aarhus University Hospital, and Department of Clinical Medicine, Aarhus University, Denmark.
⁴ Department of Plastic and Breast Surgery, Aarhus University Hospital, Denmark.
⁵ Department of Plastic Surgery and Burns Treatment, Copenhagen University Hospital, Copenhagen, Denmark.
⁶ Department of Breast Surgery Guy's Hospital London, UK.
⁷ Department of Radiation Oncology, Iridium Netwerk, Antwerp, Belgium; Faculty of Medicine and Health Sciences, University of Antwerp, Antwerp, Belgium. Electronic address: philip.poortmans@telenet.be.

Abstract

Breast cancer is the most common malignancy, and the majority of the patients are diagnosed at an early disease stage. Breast conservation is the preferred locoregional approach, and oncoplastic breast conservation surgery is becoming more popular. This narrative review aims to discuss the challenges and uncertainties in target volume definition for postoperative radiation after these procedures, to improve radiation therapy decisions and encourage multidisciplinary.

Keywords: Boost; Breast cancer; Oncoplastic; Radiation; Radiotherapy.

Publication types

Review

MeSH terms

Breast / pathology
Breast Neoplasms* / pathology
Breast Neoplasms* / radiotherapy
Breast Neoplasms* / surgery
Female
Humans
Mammaplasty* / methods
Mastectomy / methods
Mastectomy, Segmental / methods
Radiotherapy, Adjuvant