The Role of Interstitial Brachytherapy for Breast Cancer Treatment: An Overview of Indications, Applications, and Technical Notes

Author:

Cozzi SalvatoreORCID,Augugliaro Matteo,Ciammella Patrizia,Botti Andrea,Trojani ValeriaORCID,Najafi Masoumeh,Blandino Gladys,Ruggieri Maria Paola,Giaccherini Lucia,Alì Emanuele,Iori FedericoORCID,Sardaro Angela,Finocchi Ghersi Sebastiano,Deantonio Letizia,Gutierrez Miguelez CristinaORCID,Iotti Cinzia,Bardoscia Lilia

Abstract

Breast cancer represents the second leading cause of cancer-related death in the female population, despite continuing advances in treatment options that have significantly accelerated in recent years. Conservative treatments have radically changed the concept of healing, also focusing on the psychological aspect of oncological treatments. In this scenario, radiotherapy plays a key role. Brachytherapy is an extremely versatile radiation technique that can be used in various settings for breast cancer treatment. Although it is invasive, technically complex, and requires a long learning curve, the dosimetric advantages and sparing of organs at risk are unequivocal. Literature data support muticatheter interstitial brachytherapy as the only method with strong scientific evidence to perform partial breast irradiation and reirradiation after previous conservative surgery and external beam radiotherapy, with longer follow-up than new, emerging radiation techniques, whose effectiveness is proven by over 20 years of experience. The aim of our work is to provide a comprehensive view of the use of interstitial brachytherapy to perform breast lumpectomy boost, breast-conserving accelerated partial breast irradiation, and salvage reirradiation for ipsilateral breast recurrence, with particular focus on the implant description, limits, and advantages of the technique.

Publisher

MDPI AG

Subject

Cancer Research,Oncology

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