RadioGraphics, Vol 9, 1067-1079, Copyright © 1989 by Radiological Society of North America
Treatment options in early breast cancer
L Krishnan, EC Krishnan, CM Mansfield, EK Reddy, JH Thomas and WR Jewell
Department of Radiation Oncology, University of Kansas Medical Center, Kansas City 66103.
Conservative management of early breast cancer with limited surgical
excision and radiotherapy is now being accepted as a viable alternative to
mutilating surgical procedures. In this paper, the major steps in the
historical development of conservative management are traced, and the
results of the current randomized trials are summarized. An innovative
method used at the University of Kansas Medical Center delivers a "boost"
dose to the tumor bed with interstitial Ir-192 immediately following
resection of the primary tumor mass. The results obtained in terms of local
control and cosmesis with this technique are presented, and the current
state of the art is discussed.
