ESTRO ACROP consensus guideline for target volume delineation in the setting of postmastectomy radiation therapy after implant-based immediate reconstruction for early stage breast cancer

Orit Kaidar-Person¹, Birgitte Vrou Offersen², Sandra Hol³, Meritxell Arenas⁴, Cynthia Aristei⁵, Celine Bourgier⁶, Maria Joao Cardoso⁷, Boon Chua⁸, Charlotte E Coles⁹, Tine Engberg Damsgaard¹⁰, Dorota Gabrys¹¹, Reshma Jagsi¹², Rachel Jimenez¹³, Anna M Kirby¹⁴, Carine Kirkove¹⁵, Youlia Kirova¹⁶, Vassilis Kouloulias¹⁷, Tanja Marinko¹⁸, Icro Meattini¹⁹, Ingvil Mjaaland²⁰, Gustavo Nader Marta²¹, Petra Witt Nystrom²², Elzbieta Senkus²³, Tanja Skyttä²⁴, Tove F Tvedskov²⁵, Karolien Verhoeven²⁶, Philip Poortmans²⁷

Affiliations

¹ Oncology Institute, Radiation Oncology Unit, Rambam Medical Center, Haifa, Israel. Electronic address: o_person@rambam.health.gov.il.
² Department of Experimental Clinical Oncology, Danish Center for Particle Therapy, Department of Oncology, Aarhus University Hospital, Denmark.
³ Department of Radiation Oncology, Institute Verbeeten, Tilburg, the Netherlands.
⁴ Department of Radiation Oncology, Hospital Universitari Sant Joan de Reus, University Rovira i Virgili, Spain.
⁵ Radiation Oncology Section, Department of Surgical and Biomedical Science, University of Perugia and Perugia General Hospital, Italy.
⁶ Department of Radiation Oncology, ICM - Val d'Aurelle, INSERM U1194, IRCM; Montpellier University, Montpellier, France.
⁷ Breast Unit, Champalimaud Foundation, and Nova Medical School, Lisbon, Portugal.
⁸ Faculty of Medicine, The University of New South Wales, UNSW Sydney, NSW, Australia.
⁹ Cambridge University, Department of Oncology, United Kingdom.
¹⁰ Department of Plastic and Breast Surgery, Aarhus University Hospital, Denmark.
¹¹ Department of Radiation Oncology, Maria Sklodowska Curie Memorial Cancer Centre, Gliwice, Poland.
¹² Department of Radiation Oncology, University of Michigan, Ann Arbor, USA.
¹³ Department of Radiation Oncology, Massachusetts General Hospital, Boston, USA.
¹⁴ Department of Radiotherapy, Royal Marsden NHS Foundation Trust and Institute of Cancer Research, Sutton, UK.
¹⁵ Department of Radiation Oncology, University Hospital St-Luc, Brussels, Belgium.
¹⁶ Department of Radiation Oncology, Institut Curie, Paris, France.
¹⁷ National and Kapodistrian University of Athens, Medical School, 2nd Dpt of Radiology, Radiotherapy Unit, Athens, Greece.
¹⁸ Department of Radiation Oncology, Institute of Oncology Ljubljana, Slovenia.
¹⁹ Department of Biomedical, Experimental, and Clinical Sciences, University of Florence, Italy, Radiation Oncology Unit - Oncology Department, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
²⁰ Department of Oncology & Radiotherapy, Stavanger University Hospital, Norway.
²¹ Department of Radiation Oncology, Hospital Sírio-Libanês, São Paulo, Brazil; Department of Radiology and Oncology, Division of Radiation Oncology, Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo, Brazil.
²² The Skandion Clinic, Uppsala, Sweden and Danish Center for Particle Therapy, Aarhus, Denmark.
²³ Department of Oncology & Radiotherapy, Medical University of Gdańsk, Poland.
²⁴ Department of Oncology, Tampere University Hospital, Finland.
²⁵ Dept. of Breast Surgery, Herlev Hospital, Copenhagen, Denmark.
²⁶ GROW School for Oncology and Developmental Biology, Department of Radiation Oncology, Maastricht University Medical Centre, Netherlands.
²⁷ Department of Radiation Oncology, Institut Curie, and Paris Sciences & Lettres University, Paris, France.

PMID: 31108277
DOI: 10.1016/j.radonc.2019.04.010

Practice Guideline

ESTRO ACROP consensus guideline for target volume delineation in the setting of postmastectomy radiation therapy after implant-based immediate reconstruction for early stage breast cancer

Orit Kaidar-Person et al. Radiother Oncol. 2019 Aug.

. 2019 Aug:137:159-166.

doi: 10.1016/j.radonc.2019.04.010. Epub 2019 May 17.

Authors

Affiliations

¹ Oncology Institute, Radiation Oncology Unit, Rambam Medical Center, Haifa, Israel. Electronic address: o_person@rambam.health.gov.il.
² Department of Experimental Clinical Oncology, Danish Center for Particle Therapy, Department of Oncology, Aarhus University Hospital, Denmark.
³ Department of Radiation Oncology, Institute Verbeeten, Tilburg, the Netherlands.
⁴ Department of Radiation Oncology, Hospital Universitari Sant Joan de Reus, University Rovira i Virgili, Spain.
⁵ Radiation Oncology Section, Department of Surgical and Biomedical Science, University of Perugia and Perugia General Hospital, Italy.
⁶ Department of Radiation Oncology, ICM - Val d'Aurelle, INSERM U1194, IRCM; Montpellier University, Montpellier, France.
⁷ Breast Unit, Champalimaud Foundation, and Nova Medical School, Lisbon, Portugal.
⁸ Faculty of Medicine, The University of New South Wales, UNSW Sydney, NSW, Australia.
⁹ Cambridge University, Department of Oncology, United Kingdom.
¹⁰ Department of Plastic and Breast Surgery, Aarhus University Hospital, Denmark.
¹¹ Department of Radiation Oncology, Maria Sklodowska Curie Memorial Cancer Centre, Gliwice, Poland.
¹² Department of Radiation Oncology, University of Michigan, Ann Arbor, USA.
¹³ Department of Radiation Oncology, Massachusetts General Hospital, Boston, USA.
¹⁴ Department of Radiotherapy, Royal Marsden NHS Foundation Trust and Institute of Cancer Research, Sutton, UK.
¹⁵ Department of Radiation Oncology, University Hospital St-Luc, Brussels, Belgium.
¹⁶ Department of Radiation Oncology, Institut Curie, Paris, France.
¹⁷ National and Kapodistrian University of Athens, Medical School, 2nd Dpt of Radiology, Radiotherapy Unit, Athens, Greece.
¹⁸ Department of Radiation Oncology, Institute of Oncology Ljubljana, Slovenia.
¹⁹ Department of Biomedical, Experimental, and Clinical Sciences, University of Florence, Italy, Radiation Oncology Unit - Oncology Department, Azienda Ospedaliero-Universitaria Careggi, Florence, Italy.
²⁰ Department of Oncology & Radiotherapy, Stavanger University Hospital, Norway.
²¹ Department of Radiation Oncology, Hospital Sírio-Libanês, São Paulo, Brazil; Department of Radiology and Oncology, Division of Radiation Oncology, Instituto do Câncer do Estado de São Paulo (ICESP), Faculdade de Medicina da Universidade de São Paulo, Brazil.
²² The Skandion Clinic, Uppsala, Sweden and Danish Center for Particle Therapy, Aarhus, Denmark.
²³ Department of Oncology & Radiotherapy, Medical University of Gdańsk, Poland.
²⁴ Department of Oncology, Tampere University Hospital, Finland.
²⁵ Dept. of Breast Surgery, Herlev Hospital, Copenhagen, Denmark.
²⁶ GROW School for Oncology and Developmental Biology, Department of Radiation Oncology, Maastricht University Medical Centre, Netherlands.
²⁷ Department of Radiation Oncology, Institut Curie, and Paris Sciences & Lettres University, Paris, France.

PMID: 31108277
DOI: 10.1016/j.radonc.2019.04.010

Abstract

Immediate breast reconstruction (IBR) rates after mastectomy are increasing. Postmastectomy radiation therapy (PMRT) contouring guidelines for target volumes in the setting of IBR are lacking. Therefore, many patients who have had IBR receive PMRT to target volumes similar to conventional simulator-based whole breast irradiation. The aim of this paper is to describe delineation guidelines for PMRT after implant-based IBR based on a thorough understanding of the surgical procedures, disease stage, patterns of recurrence and radiation techniques. They are based on a consensus endorsed by a global multidisciplinary group of breast cancer experts.

Keywords: Breast cancer; Guidelines; Immediate reconstruction; Implant; Mastectomy; Radiation therapy.

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Comment in

Should risk-adapted delineation considered de-escalation of therapy? The ESTRO-ACROP radiation therapy guidelines after implant-based immediate reconstruction for early stage breast cancer.
Kaidar-Person O, Offersen BV, Poortmans P. Kaidar-Person O, et al. Radiother Oncol. 2019 Dec;141:327-328. doi: 10.1016/j.radonc.2019.07.032. Epub 2019 Aug 23. Radiother Oncol. 2019. PMID: 31451283 No abstract available.
ESTRO ACROP consensus guideline for target volume delineation in the setting of postmastectomy radiation therapy after implant-based immediate reconstruction for early stage breast cancer.
Mutter RW. Mutter RW. Radiother Oncol. 2019 Dec;141:329-330. doi: 10.1016/j.radonc.2019.07.019. Epub 2019 Aug 23. Radiother Oncol. 2019. PMID: 31451284 Free PMC article. No abstract available.

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ESTRO ACROP consensus guideline for target volume delineation in the setting of postmastectomy radiation therapy after implant-based immediate reconstruction for early stage breast cancer

Affiliations

ESTRO ACROP consensus guideline for target volume delineation in the setting of postmastectomy radiation therapy after implant-based immediate reconstruction for early stage breast cancer

Authors

Affiliations

Abstract

Comment in

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical