Clinical Study of Breast Conserving Surgery Combined With Intraoperative Radiotherapy for Early Breast Cancer

This is a single-center, open, prospective study. A total of 620 breast cancer patients meeting the exclusion criteria were included and assigned to the IORT group and the WBI group according to the patients' wishes. The IORT group received intraoperative radiotherapy with a regimen of 50-KF-x 20Gy/1f, and the WBI group received whole milk external irradiation with a regimen of 50Gy/25f. If the postoperative paraffin pathology of patients in the IORT group indicated positive axillary lymph nodes, the radiologist should determine whether to irradiate the whole milk and lymph nodes in the drainage area. If the postoperative pathology of patients in the WBI group indicated the need for chemotherapy, radiotherapy was initiated within 6 weeks after the end of chemotherapy, allowing both endocrine therapy and radiotherapy to be performed simultaneously. The clinical standard treatment regimen (chemotherapy, endocrine therapy, etc.) was developed based on postoperative pathological and immunohistochemical reports.

Inclusion criteria

• Age ≥55 years old；
• Cytology or histology confirmed invasive breast cancer or intraductal carcinoma in situ (DCIS) with a clinical stage of Tis-1N0M0；
• Patients who are willing to preserve milk and intend to undergo breast-conserving surgery；
• If invasive breast cancer is confirmed, the surgical margin negative ≥2mm should be met. If DCIS is confirmed, the surgical margin should be negative ≥3mm；
• ER≥ 30% and PR≥ 1%, HER2 negative；
• Voluntary participation in this study, signed informed consent, good compliance, cooperate with follow-up.

Exclusion criteria

• Simultaneous diagnosis of bilateral or multifocal breast cancer；
• Previous ipsilateral breast cancer and/or prior chest wall radiation therapy；
• There are active connective tissue diseases such as scleroderma and systemic lupus erythematosus in the chest；
• The investigators did not consider the patient suitable for participation in any other conditions of the study.