Investigation and analysis of thereasons for omission of adjuvant radiotherapy after breast-conserving surgery for early-stage breast cancer
Cui Xiaoying1, Sheng Liming2, Ji Yongling2, Chen Ying2, Cheng Lei2, Qiu Guoqin2, Zhou Xia2, Bao Wuan2, Yang Yang2, Yang Hongjian3, Du Xianghui2
1The Second Clinical Medical College, Zhejiang Chinese Medical University, Hangzhou 310053,China; 2Department of Radiation Oncology, Zhejiang Cancer Hospital, Hangzhou 310022, China; 3Department of Breast Cancer Surgery, Zhejiang Cancer Hospital, Hangzhou 310022,China
Abstract：Objective To investigate and analyze the reasons for the omission of adjuvant radiotherapy after breast-conserving surgery (BCS) in patients with breast cancer.Methods The clinicopathologial characteristics and socioeconomic data of 55 breast cancer patients undergoing BCS without postoperative adjuvant radiotherapy in our hospital from 2012 to 2016 were retrospectively analyzed.Results Among the 55 patients who did not receive radiotherapy, 25 patients were due to low local recurrence risk,12 patients were due to economic or family reasons,12 patients were due to fear of adverse reactions of radiotherapy, and 5 patients were not recommended by primary physicians for radiotherapy.In addition, 3 cases with multiple distant metastases and 3 cases with concomitant thyroid cancer didn't received radiotherapy.Conclusions Low risk local recurrence is the main reason for the omission of adjuvant radiotherapy, followed by the fear of radiation-induced toxicity and poor financial support. Patient education and medical insurance may improve the adjuvant radiotherapy compliance.
Cui Xiaoying,Sheng Liming,Ji Yongling et al. Investigation and analysis of thereasons for omission of adjuvant radiotherapy after breast-conserving surgery for early-stage breast cancer[J]. Chinese Journal of Radiation Oncology, 2019, 28(6): 421-424.
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2019, Vol. 28 
