Repeat BCT vs. Salvage Mastecomy: What the Data Says

In This Issue
Repeat BCT with APBI
Lit Review: Repeat BCT with APBI
Sunshine Act in Effect
BrachyBytes Editorial Advisory Board

Robert Kuske, M.D.

Jay Reiff, Ph.D.
Dan Scanderbeg, Ph.D.
Catheryn Yashar, M.D.
Vic Zannis, M.D.
Upcoming Events


Breast Cancer Symposium
September 7-9, 2013

Marriott Marquis Hotel
San Francisco, CA

American Society of Radiation Oncology Annual Meeting

September 22-25, 20213
Georgia World Congress Center
Atlanta, GA

Become a Center of Excellence in APBI

Learn about becoming a Center of Excellence and find ways to grow your APBI program by reaching out to referring physicians and women in the community.

Contact for more information.  
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Past Issues
Cianna Medical

BEST Forum
SAVI Sisters

Summa Health System
Physician Payments Sunshine Act
Centers for Medicare & Medicaid Services

July/August 2013 

Repeat Breast Conservation Therapy with APBI 
Chirag Shah, MD   Chirag Shah, MD

While salvage mastectomy remains the standard of care for addressing a subsequent breast cancer, repeat breast conservation therapy (BCT) with APBI is increasingly seen as a viable option for women who wish to preserve their breast.

Available data is limited yet promising, demonstrating excellent local control and low rates of toxicities, and a forthcoming Phase II trial will provide important prospective data regarding re-irradiation with APBI.

Radiation oncologist Chirag Shah, MD, reviews the current data and discusses his experience with re-irradiation, including how SAVI may enable more women to choose repeat BCT. Read more

Literature Review: Repeat BCT with APBI

Although data regarding repeat BCT with APBI is limited, studies further validating the concept continue to accumulate, including:

Hannoun-Levi JM, et al.

Radiother Oncol (2013)

Shah C, et al.

Clin Breast Cancer (2012)

Ishitobi M, et al.

Oncology (2011)

Adkison JB, Kuske RR, Patel RR.

Am J Clin Oncol (2010)

We want to know…

What are your views and experience with repeat BCT with APBI? – email us today!

Physician Payments Sunshine Act and You

As of August 1, 2013, the Physician Payments Sunshine Act requires drug and device manufacturers to report payments or transfers of value made to physicians or teaching hospitals to the Centers for Medicare & Medicaid Services (CMS).

For more information about the law – including timelines, reporting requirements, and how you can work with manufacturers to promote ethical collaboration – check out the following resources:

At Cianna Medical, we are grateful for our physician partners. We believe through physician and industry collaboration, we promote safe and effective use of medical technologies as well as foster innovation.