Radiotherapy after breast‐conserving surgery for elderly patients with early‐stage breast cancer: A national registry‐based study
International Journal of Cancer Sep 18, 2020
Wang F, Meszoely I, Pal T, et al. - Researchers sought to ascertain if elderly patients with early‐stage breast cancer receiving breast‐conserving surgery (BCS) should forgo radiotherapy. The National Cancer Database yielded data of 115,516 women aged ≥ 70 years, who were treated with BCS for T1‐2N0‐1M0 breast cancer between 2004 and 2014. Findings revealed a higher mortality rate for patients who received no radiotherapy vs those who received radiotherapy (5‐year survival rate: 71.2% vs 83.8%); this was observed even among patients ≥ 90 years. In view of these findings, they suggest reconsidering the current recommendation of omission of post‐BCS radiotherapy for elderly women with early‐stage breast cancer, particularly for those without contraindication.
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