Why the study?
Does targeted intraoperative radiotherapy prevent pacemaker malfunction in breast cancer patients with a pacemaker located close to the tumor?
Does targeted intraoperative radiotherapy prevent pacemaker malfunction in breast cancer patients with a pacemaker located close to the tumor?
Targeted intraoperative radiotherapy using a short-range kilovoltage x-ray source is a safe and viable alternative to external beam radiotherapy for breast cancer patients with a cardiac pacemaker located close to the treatment area.
Answers are grounded in this paper and cite their sources.
May support targeted IORT near pacemakers; leaves open generalizability and safety in larger cohorts.
We present the case of an 83 year old woman with a cardiac pacemaker located close in distance to a subsequently diagnosed invasive ductal carcinoma of the left breast. Short range intraoperative radiotherapy was given following wide local excision and sentinel node biopsy. The challenges of using ionising radiation with pacemakers is also discussed.
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Keshtgar et al. (2012) studied this question.
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