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ABSTRACT: The Location of Contralateral Breast Cancers After Radiation
Therapy
Radiation therapy following conservative surgery results in scattered
radiation to the contralateral breast, with higher doses to the
medial breast and lower doses laterally.
The purpose of the current
study is to determine whether the location of contralateral breast
cancers developing following breast conserving surgery and radiation
is indicative of radiation-induced malignancies. The charts of
1,755 patients treated with conservative surgery and radiation
therapy between 1970 and 1998 were reviewed.
Fifty-nine patients
who developed a contralateral malignancy following conservative
surgery and radiation therapy and who had complete information
and documentation of the location of the second lesion served
as the primary focus of the current study.
The location of the
contralateral malignancy was compared with the location of the
primary tumors of the overall patient population.
The location
of breast cancers developing in the contralateral breast following
breast conserving therapy and radiation was not consistent with
radiation-induced malignancies.
Specifically, there was not a
preponderance of medially located tumors in patients developing
contralateral breast cancers following radiation. There was a
slight excess of central lesions that cannot be explained by
higher doses of radiation. The location of breast cancers in
the contralateral breast following conservative surgery and radiation
is not indicative of radiation-induced lesions.
These data should
be reassuring to women considering breast conserving surgery
and radiation.
[01/07/2002; The Breast Journal]
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 AACR, 4/02

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 Int'l J Radiation, Onco, Bio, Physics, 6/02

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