Review Article

Intraoperative Radiotherapy in the Treatment of Breast Cancer: A Review of the Evidence

Table 1

Summary of evidence regarding the location of in-breast recurrences.

YearDescriptionAll LRIBNPTrue LRReference

20075318 patients with early breast cancer; all had lumpectomy and EBRT ± boost911781%[36]
1993567 women ± EBRT, 39 m median FUP. IBNP “>2 cm from primary site”25484%[37]
1992837 women ± EBRT, 43 m median FUP1311985%[38]
1992488 women all with lumpectomy plus EBRT, 103 m mean FUP. “True” LR—“at or close to same quadrant as index case”42295%[39]
1990783 women, 80 m median FUP911781%[40]
1990381 women ± EBRT, 30 m FUP15287%[41]
1990496 women, 71 m median FUP611577%[42]
19901593 women, 11 y median FUP1783879%[43]
1989861 women, 5-6 years median FUP931980%[44]
1984231 women, 44 m median FUP12283%[45]
1982680 women5093>99%[46]
198228 women with DCIS treated by biopsy alone, FUP > 3 y7186%[47]
1981176 patients, median FUP 47 m15193%[48]

LR = local recurrence (any recurrence in the ipsilateral breast).
IBNP = ipsilateral breast new primary (a LR that is some distance away from the site of the original tumour; precise definitions vary by study).
True LR = (All LR-IBNP)/(All LR) expressed as a percentage.