None listed
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: i. Women with unilateral pT1,2N0M0 breast cancer or multifocal breast cancer if largest discrete tumour at least 2cm or if the tumour area comprises multiple small adjacent foci of invasive carcinoma then overall maximum dimension taken. This must be greater than 2cm. ii. Upfront total mastectomy (with minimum 1 mm margin clear of invasive cancer or DCIS) and axillary staging procedure (clearance, sampling or SNB) iii. T2 tumors with one risk factor or T1 tumors with any of the following two high risk factors such as presence of high grade, lymphovascular invasion, ER/PR negative, HER2 positivity, age iv. Fit to receive adjuvant radiation +/- chemotherapy (if indicated) +/- hormonal therapy (if indicated) v. Written, informed consent
Exclusion criteria
Exclusion criteria: i. Any pTis/3/4, M1 patients ii. Patients who have any pathologically involved axillary nodes (micromets may be allowed) iii. Patients who have undergone neoadjuvant systemic therapy. iv. Previous or concurrent malignancy other than non melanomatous skin cancer and carcinoma in situ of the cervix v. Pregnancy vi. Bilateral breast cancer vii. Not fit for surgery, radiotherapy or adjuvant systemic therapy viii. Unable or unwilling to give informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Disease free survivalTimepoint: 5 years | — |
Secondary
| Measure | Time frame |
|---|---|
| i. Chest wall recurrence ii. Regional recurrence iii. Metastasis-free survival iv. Overall survival v. Acute and late morbidity vi. Quality of Life Timepoint: 5 years | — |
Countries
India
Contacts
ACTREC, TMC