Pacemaker and radiotherapy in breast cancer: is targeted intraoperative radiotherapy the answer in this setting?
1 The Breast Unit, Academic Department of Surgery, Royal Free and University College Medical School, Pond Street, London, NW3 2QG, UK
2 Department of Radiotherapy, Royal Free Hospital, London, UK
3 Department of Radiation Oncology, University Medical Center Mannheim, University of Heidelberg, Mannheim, Germany
Radiation Oncology 2012, 7:128 doi:10.1186/1748-717X-7-128Published: 1 August 2012
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.