Breast Re-irradiation After Second Ipsilateral Lumpectomy

Inclusion Criteria15

• Diagnosed with ER+HER2- breast cancer
• Provision of signed and dated ICF
• Stated willingness to comply with all study procedures and availability for the duration of the study
• Age ≥ 40 years
• Oncotype \< 26 (postmenopausal) \<16 (premenopausal), Low, or Ultra-Low index.
• Minimum interval of 18 months from last breast radiotherapy session.
• Prior radiation therapy in the form of brachytherapy, external beam MV photons, protons or intraoperative radiation are allowed with an upper total dose limit of 68 Gy (EQD2) for those patients with prior records available.
• Ipsilateral recurrence, unifocal \< 3 cm with negative margins, N0, Tis and invasive (pathological staging)
• Eastern Cooperative Oncology Group (ECOG) ≤ 2
• Planning target volume: whole breast (PTV: WB) ratio \< 1/2
• Life expectancy \> 12 months
• Individuals able to become pregnant: agreement to use highly effective contraception starting at screening through treatment, and for 1 year after the end of PBI. Should a participant become pregnant or suspect that they are pregnant while participating in this study, they should notify the treating physician immediately.
• A person able to become pregnant is any person assigned female at birth (regardless of gender identity, sexual orientation, having undergone a tubal ligation, or remaining celibate by choice) who meets the following criteria:
• Has not undergone a hysterectomy or bilateral oophorectomy; or
• Has not been naturally postmenopausal for at least 12 consecutive months (i.e., has not had menses at any time during the preceding 12 consecutive months)