Breast Cancer
Conditions
Keywords
Breast Cancer, Partial breast irradiation, Radiosurgery, CyberKnife, Radiotherapy, PBI
Brief summary
This pilot study will evaluate the technical feasibility and acute toxicity of Partial Breast Irradiation (PBI) with the CyberKnife in anticipation of a larger multi-institutional Phase II study. It will evaluate quality of life (QOL) issues as they relate to treatment related side effects, cosmetic result, and patient convenience. Radiosurgery is defined as the stereotactic delivery of ionizing radiation in 5 stages or less to a designated target with sub-millimeter accuracy. Radiosurgery in the context of this protocol will be given to the region of the tumor bed within 7 weeks of lumpectomy and sentinel/axillary node sampling over a period of five to ten days using the CyberKnife (CK). Subjects will receive CK before chemotherapy, if applicable.
Interventions
Body radiosurgery will be delivered to the lumpectomy cavity with specified margin. Radiation dose will be 600 cGy x 5 stages = 3000 cGy over five to ten total days.
Sponsors
Study design
Eligibility
Inclusion criteria
* DCIS or infiltrating ductal carcinoma of the breast \<= 3cm * margins clear by at least 2 mm * age \>=45 years
Exclusion criteria
* invasive lobular carcinoma * multicentric disease * nodal metastases * breast implants * pregnancy * connective tissue disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To evaluate the feasibility of CyberKnife body radiosurgery as the sole radiation therapy for this patient population 2. To evaluate the complication rate of CyberKnife body radiosurgery as the sole radiation therapy for this patient population | 1 year |
Secondary
| Measure | Time frame |
|---|---|
| 1. To evaluate the local control rate of CyberKnife body radiosurgery as the sole radiation therapy for this patient population. 2. To evaluate Quality of Life after CyberKnife body radiosurgery PBI. | 1 - 5 years |
Countries
United States