What are the ASBrS selection criteria for treatment of breast cancer with accelerated partial breast irradiation (PBI)?

Updated: Dec 27, 2019
  • Author: Pavani Chalasani, MD, MPH; Chief Editor: John V Kiluk, MD, FACS  more...
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Answer

The American Society of Breast Surgeons (ASBrS) recommends the following selection criteria when patients are being considered for treatment with accelerated PBI [120] :

  • Age ≥45 years for all tumor types
  • All invasive subtypes or DCIS
  • Total tumor size (invasive and DCIS) ≤ 3 cm
  • T stage Tis, T1, T2 (≤ 3 cm) 
  • Margins; No tumor on ink for invasive tumors or tumors involved with DCIS;  ≥2 mm for DCIS 
  • Node negative 
  • Multifocal acceptable if total span of tumors is ≤3 cm
  • Estrogen receptor positive or negative
  • Focal lymphovascular invasion
  • No genetic mutations

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