Wesley Medical Center – Grant Rine, MD Interview


(muffled speaking off microphone) – Well, standard of care for
early stage breast cancer is to either have a mastectomy or a lumpectomy with radiation. There are subsets of patients
that don’t need radiation, and there are subsets of patients that don’t need as much radiation as we had previously been giving. Certain patients with
early stage breast cancer can be given a single treatment
with the IORT technique during the operative procedure. And this saves them the inconvenience of going through what’s
called a fractionated course of 16 to 30 treatments, which is standard, and has been the standard
for a number of years. So there’s a great advantage
for select patients who have early stage smaller tumors, in which they can get
the entire process done in one shot, one stop. And the outcomes are very favorable. The clinical literature supporting
this is very impressive. The side effects are less than
the standard fractionation because there’s literally
less volume of breast tissue receiving radiation. The technique that’s
been developed is unique in that it’s a means of
administering radiation to the surface of a cavity
where the lump was removed. Then the biggest concern for oncology is preventing a recurrence and the highest probability of recurrence is in that one to one-and-a-half
centimeters of tissue surrounding the lumpectomy site. So this is kind of taking
the best of all worlds and encompassing the treatment, rolling it into one package. – [Interviewer] In a state like Kansas, which has a whole lot of rural area, how is it effective or good for a patient? – Well there has been
a tendency for patients to opt for a mastectomy
when they’re in rural areas because they just simply
can’t make the daily treatment that 16 to 30 fractions
that are typically given. So there’s a rural population with select tumor characteristics that are ideal for this where they have to be in
the operating room anyway. So this allows them to broaden the horizon for options for treatment. And some of them can
elect breast conservation with complete confidence
that the reduction in risk of recurrence is there.

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