Table 1. Published studies reporting conservative treatment among breast cancer patients previously treated for HL.
| Study | Re-irradiation technique | Dose in Gy | Median follow-up in mo (range) |
Toxicity events | Locoregional recurrence rate (%) | Cosmetic result |
|---|---|---|---|---|---|---|
| Wolden et al. [14] n = 2 | WBRT with tangential fields | 45.6, 46 | 72, 168a | Severe soft tissue necrosis | 0 | NA |
| Aref et al. [22] n = 2 | WBRT | 46, 48 | 27, 32a | No | 0 | Good to excellent |
| Deutsch et al. [18] n = 11 | WBRT | 50–51 | 46 (1–74) | No | 0 | Good to excellent |
| Cutuli et al. [23] n = 32 | WBRT | NA | 40 (10–192) | No | 12.5 | NA |
| Intra et al. [17] n = 6 | ELIOT | 17, 21 | 30.8b (17–53) | No | 8 | Very good |
| Sana et al. [24] n = 33 | EBRT, ELIOT | NA | 41 (1–101) | NA | <5d | NA |
| El-Din et al. [19] n = 1 | 3D conformal PBI | 50 | 27a | Moderate erythema | 0 | Excellent |
| Chadha et al. [25] n = 5 | PBB | 45 | (5–67) | No | 0 | Excellent |
| Nguyen et al. [21] n = 2 | WBRT | 45, 50 | 43c (6–127) | G1c | 0 | NA |
| Intra et al.c [26] n = 35 | ELIOT | 17, 18, 21 | 52 (6–132) | G1, G2 subcutaneous tissue | 9 | Very good |
| Cutuli et al. [27] n = 56 | WBRT | NA | 50 | No | 13.7 | NA |
| Haberer et al. [20] n = 30 | WBRT | 39.6–52.2 | 84 (4.8-384) | NA | 7d | NA |
| Chadha et al. [28] n = 8 | PBB | 45e, f | 73f | G1 skin pigmentation + G3 fibrosisf | 1d | Excellent |
| Terenziani et al. [29] n = 29 | NA | 28–60 | 99 | No | NA | NA |
| Burt et al. [30] n = 46 | NA | NA | 57 (0–299) | NA | NA | NA |
Follow-up in months;
Average follow-up;
Data for HL+NHL;
Number of locoregional recurrences;
Median dose;
Data for patients with prior HL+ prior history of breast cancer.
Abbreviations: EBRT: External beam radiation therapy; ELIOT: Intraoperative radiotherapy with electrons; G: Grade; NA: Not available; PBB: Partial breast brachytherapy; PBI: Partial breast irradiation; WBRT: Whole breast radiotherapy.