EP-1187: T-lysyal based cream (Repalysyal) in the prevention of acute skin toxicity in breast cancer patients

A. Rese, E. D'Ippolito, F. Piccolo, P. Romanelli, A. Romano, L. Faraci, E. Toska, F. Pastore, V. De Chiara, L. Coppa, G. Salzano, A. Farella (+4 others)
2016 Radiotherapy and Oncology  
S564 ESTRO 35 2016 _____________________________________________________________________________________________________ pN1 stage, 190 pts with pT1-2 N2 while 100 pts with pT1/2 pN3 stage. Hystological subtype was luminal A ( lA=Er+/ Pr+ , Her neg G1-G2) in 164 pts; luminal B ( lB= Er+/Pr+, Her2 neg G3) in 170 pts; triple negative (TN= Er-Pr-Her2 neg) in 166 pts. Mean age was 65 yrs (range: 40-72 yrs). Patients were treated with chemotherapy according to prognostic features. All patients
more » ... ed whole breast radiotherapy witha a totale dose of 50 Gy + 10 Gy boost and 48-50 Gy on supraclavicular fossa. In case of medial tumors, the internal mammary chain was included. Kaplan-Meyer and paired t-test were used for statistical analysis. Results: The 5-year LRR and DR were obtained with a median of 6.3 years. The 5-year LRR was 1.9% in lA, 2.8 % in l B , 2.1% in TN ( p= .72). The 5-year DR was in lA 2%, lB 4.5%, 8 % in TN (p<.001) According to nodal status LRR was 1.7% in N1, 2.3% in N2 and 3.8% in N3 status (p= .005). The 5-year DR in N1 lA was 2.4 %, for lB was 3%, for TN was 3.5% ( p= .82) while in N2 lA it was 3 %,for lB was 5% and for TN it was 7.3% (p= .06); for N3 lA was 3.5%, for lB was 4.8%, for TN was 8.5%; overall DR of pN1 versus pN2/N3 was statistically significant (p= .02). On multivariate analyses high risk of LRR was related to T size (T>2 cm), presence of lymphovascular invasion, lobular hystology; high risk of DR was observed for N> 4 nodes, presence of ECE, Ki 67> 30% and age <50 years. Conclusion: : In this analysis triple negative breast cancer patients with pN1 seem to benefit by nodal radiation, but further studies are necessary EP-1185 Male breast cancer -outcome with adjuvant treatment B. Yadav 1
doi:10.1016/s0167-8140(16)32437-9 fatcat:tvnpabkw6rhshbraykhguqhaii