Gender | Criteria Fulfill
Item
only women who satisfy all of the following conditions will be eligible for this study.
boolean
C0079399 (UMLS CUI [1])
C0243161 (UMLS CUI [2,1])
C1550543 (UMLS CUI [2,2])
Informed Consent
Item
1. must consent to be in the study and must have signed an approved consent form conforming with federal and institutional guidelines
boolean
C0021430 (UMLS CUI [1])
Age
Item
2. must be at least 21 years old
boolean
C0001779 (UMLS CUI [1])
Breast Carcinoma TNM Breast tumor staging
Item
3. must have stage 0, i, or ii breast cancer
boolean
C0678222 (UMLS CUI [1,1])
C0474926 (UMLS CUI [1,2])
DCIS | Breast adenocarcinoma Invasive
Item
4. on histological examination, the tumor must be ductal carcinoma in situ (dcis) or invasive adenocarcinoma of the breast.
boolean
C0007124 (UMLS CUI [1])
C0858252 (UMLS CUI [2,1])
C0205281 (UMLS CUI [2,2])
Breast-Conserving Surgery | Negative Surgical Margin Specimen Resected | Specimen Free of DCIS Component | Reexcision Surgical margins allowed
Item
5. surgical treatment of the breast must have been breast conserving surgery (bcs). the margins of the resected specimen must be histologically free of tumor (including dcis component). reexcision of surgical margins is permitted.
boolean
C0917927 (UMLS CUI [1])
C1709157 (UMLS CUI [2,1])
C0370003 (UMLS CUI [2,2])
C1521996 (UMLS CUI [2,3])
C0370003 (UMLS CUI [3,1])
C0332296 (UMLS CUI [3,2])
C0007124 (UMLS CUI [3,3])
C1705248 (UMLS CUI [3,4])
C0184913 (UMLS CUI [4,1])
C0229985 (UMLS CUI [4,2])
C0683607 (UMLS CUI [4,3])
Disease Gross Unifocal | Disease Gross Multifocal | Invasive cancer | DCIS | Tumor size | Excision of neoplasm Negative Surgical Margin
Item
6. gross disease may be unifocal or multifocal with pathologic (invasive and/or dcis) tumor size excised with negative margins.
boolean
C0012634 (UMLS CUI [1,1])
C0439806 (UMLS CUI [1,2])
C0443337 (UMLS CUI [1,3])
C0012634 (UMLS CUI [2,1])
C0439806 (UMLS CUI [2,2])
C0205292 (UMLS CUI [2,3])
C0677898 (UMLS CUI [3])
C0007124 (UMLS CUI [4])
C0475440 (UMLS CUI [5])
C1299802 (UMLS CUI [6,1])
C1709157 (UMLS CUI [6,2])
Invasive carcinoma of breast | Requirement Axillary lymph nodes TNM clinical staging | Sentinel Lymph Node Biopsy | Sentinel Lymph Node Negative | Excision of axillary lymph nodes | Axillary lymph nodes sampling | Axillary lymph nodes Quantity | Sentinel Lymph Node Positive
Item
7. patients with invasive breast cancer are required to have axillary staging which can include sentinel node biopsy alone (if sentinel node is negative), sentinel node biopsy followed by axillary dissection or sampling with a minimum total of 6 axillary nodes (if sentinel node is positive), or axillary dissection alone (with a minimum of 6 axillary nodes). axillary staging is not required for patients with dcis.
boolean
C0853879 (UMLS CUI [1])
C1514873 (UMLS CUI [2,1])
C0729594 (UMLS CUI [2,2])
C3258246 (UMLS CUI [2,3])
C0796693 (UMLS CUI [3])
C1522495 (UMLS CUI [4,1])
C1513916 (UMLS CUI [4,2])
C0193867 (UMLS CUI [5])
C0398420 (UMLS CUI [6])
C0729594 (UMLS CUI [7,1])
C1265611 (UMLS CUI [7,2])
C1522495 (UMLS CUI [8,1])
C1514241 (UMLS CUI [8,2])
Chemotherapy, Adjuvant | Radiotherapy, Adjuvant | Status post Operative Surgical Procedure Breast Carcinoma | Segmental Mastectomy | Reexcision Surgical margins | Axillary lymph nodes TNM clinical staging
Item
8. must begin adjuvant therapy (chemotherapy or radiotherapy) within 9 weeks following the last surgery for breast cancer (lumpectomy, re-excision of margins, or axillary staging procedure)
boolean
C0085533 (UMLS CUI [1])
C0242939 (UMLS CUI [2])
C0231290 (UMLS CUI [3,1])
C0543467 (UMLS CUI [3,2])
C0678222 (UMLS CUI [3,3])
C0024885 (UMLS CUI [4])
C0184913 (UMLS CUI [5,1])
C0229985 (UMLS CUI [5,2])
C0729594 (UMLS CUI [6,1])
C3258246 (UMLS CUI [6,2])
Hormone Receptor Analysis Primary tumor | Estrogen receptor assay Primary tumor | Progesterone receptor assay Primary tumor | Invasive cancer | HER2 Status Immunohistochemistry | HER2 Status FISH
Item
9. patients must have all usual and customary hormone receptor (er/pr) and estrogen receptor (er) analysis performed on the primary tumor prior to enrollment. patients with invasive disease must have her2 receptor status determined (positive or negative) with immuno-histochemistry (ihc) and/or fluorescent in-situ hybridization (fish).
boolean
C0019929 (UMLS CUI [1,1])
C0936012 (UMLS CUI [1,2])
C0677930 (UMLS CUI [1,3])
C0201553 (UMLS CUI [2,1])
C0677930 (UMLS CUI [2,2])
C0373717 (UMLS CUI [3,1])
C0677930 (UMLS CUI [3,2])
C0677898 (UMLS CUI [4])
C1512413 (UMLS CUI [5,1])
C0021044 (UMLS CUI [5,2])
C1512413 (UMLS CUI [6,1])
C0162789 (UMLS CUI [6,2])
Medical History | Physical Examination | Bilateral mammography
Item
10. at the time of study enrollment, patients must have had a history & physical exam within 4 months and a bilateral mammogram within 6 months.
boolean
C0262926 (UMLS CUI [1])
C0031809 (UMLS CUI [2])
C0203027 (UMLS CUI [3])
Malignant Neoplasms Disease Free Duration | Exception Breast Carcinoma | Patients Low Risk Recurrence | Carcinoma in situ of uterine cervix Treated | Colon Carcinoma In situ Treated | Malignant melanoma in situ Treated | Basal cell carcinoma Treated | Squamous cell carcinoma of skin Treated
Item
11. patients with a history of non-breast malignancies are eligible if they have been disease-free for 5 or more years prior to enrollment and are deemed by their physician to be at low risk for recurrence. patients with the following cancers are eligible if diagnosed and treated within the past 5 years: carcinoma in situ of the cervix, carcinoma in situ of the colon, melanoma in situ, and basal cell and squamous cell carcinoma of the skin.
boolean
C0006826 (UMLS CUI [1,1])
C0012634 (UMLS CUI [1,2])
C0332296 (UMLS CUI [1,3])
C0449238 (UMLS CUI [1,4])
C1705847 (UMLS CUI [2,1])
C0678222 (UMLS CUI [2,2])
C0030705 (UMLS CUI [3,1])
C3538919 (UMLS CUI [3,2])
C0034897 (UMLS CUI [3,3])
C0851140 (UMLS CUI [4,1])
C1522326 (UMLS CUI [4,2])
C0699790 (UMLS CUI [5,1])
C0444498 (UMLS CUI [5,2])
C1522326 (UMLS CUI [5,3])
C0854696 (UMLS CUI [6,1])
C1522326 (UMLS CUI [6,2])
C0007117 (UMLS CUI [7,1])
C1522326 (UMLS CUI [7,2])
C0553723 (UMLS CUI [8,1])
C1522326 (UMLS CUI [8,2])
Residence Appalachian Region | Residence Rural area | Residence Nearby Radiotherapy facility | Patients Hardship | Patients Transportation hardship | Radiotherapy Conventional Fractionated | Hypofractionated radiation therapy
Item
12. patients must live in a county that is designated as appalachian and/or rural by kentucky cancer registry criteria (see list below) and/or must hold their primary residence at least 10 miles from the nearest radiation facility. patients who do not fit these criteria may still be considered eligible if they are determined to suffer significant financial and/or transportation hardship during a typical course of cf-rt or hf-rt (in the judgment of any of their treating physicians). patients who live outside the commonwealth of kentucky are eligible if they fit any of these aforementioned conditions.
boolean
C0237096 (UMLS CUI [1,1])
C0003609 (UMLS CUI [1,2])
C0237096 (UMLS CUI [2,1])
C0178837 (UMLS CUI [2,2])
C0237096 (UMLS CUI [3,1])
C1706276 (UMLS CUI [3,2])
C0337999 (UMLS CUI [3,3])
C0030705 (UMLS CUI [4,1])
C0032854 (UMLS CUI [4,2])
C0030705 (UMLS CUI [5,1])
C0040756 (UMLS CUI [5,2])
C0032854 (UMLS CUI [5,3])
C1522449 (UMLS CUI [6,1])
C0439858 (UMLS CUI [6,2])
C1979893 (UMLS CUI [6,3])
C1831786 (UMLS CUI [7])
Appalachian Region Specified
Item
appalachian counties in ky include: adair, bath, bell, boyd, breathitt, carter, casey, clark, clay, clinton, cumberland, edmonson, elliott, estill, fleming, floyd, garrard, green, greenup, harlan, hart, jackson, johnson, knott, knox, laurel, lawrence, lee, leslie, letcher, lewis, lincoln, madison, magoffin, martin, mccreary, menifee, metcalfe, monroe, montgomery, morgan, nicholas, owsley, perry, pike, powell, pulaski, robertson, rockcastle, rowan, russell, wayne, whitley, wolfe.
boolean
C0003609 (UMLS CUI [1,1])
C0205369 (UMLS CUI [1,2])
Gender | Gender Criteria Fulfill
Item
men are not eligible for this study. women with one or more of the following conditions are ineligible for this study.
boolean
C0079399 (UMLS CUI [1])
C0079399 (UMLS CUI [2,1])
C0243161 (UMLS CUI [2,2])
C1550543 (UMLS CUI [2,3])
Breast Carcinoma TNM Breast tumor staging
Item
1. t3, stage iii, or stage iv breast cancer
boolean
C0678222 (UMLS CUI [1,1])
C0474926 (UMLS CUI [1,2])
Axillary lymph nodes Positive Quantity
Item
2. more than 3 histologically positive axillary nodes
boolean
C0729594 (UMLS CUI [1,1])
C1514241 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
Axillary lymph nodes | Extension Extracapsular Microscopic | Extension Extracapsular Macroscopic
Item
3. axillary nodes with definite evidence of microscopic or macroscopic extracapsular extension
boolean
C0729594 (UMLS CUI [1])
C0231448 (UMLS CUI [2,1])
C1517049 (UMLS CUI [2,2])
C0205288 (UMLS CUI [2,3])
C0231448 (UMLS CUI [3,1])
C1517049 (UMLS CUI [3,2])
C0439806 (UMLS CUI [3,3])
Sentinel Lymph Nodes Positive Quantity | Exception Sentinel Lymph Nodes Axillary
Item
4. one or more positive non-axillary sentinel node(s) (note that intramammary nodes are staged as axillary nodes.)
boolean
C1522495 (UMLS CUI [1,1])
C1514241 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
C1705847 (UMLS CUI [2,1])
C1522495 (UMLS CUI [2,2])
C0004454 (UMLS CUI [2,3])
Axillary lymph nodes Ipsilateral Suspicious Palpable | Axillary lymph nodes Contralateral Suspicious Palpable | Supraclavicular lymph nodes Suspicious Palpable | Infraclavicular lymph nodes Suspicious Palpable | Internal mammary lymph nodes Suspicious Palpable | Axillary lymph nodes Ipsilateral Suspicious Radiography | Axillary lymph nodes Contralateral Suspicious Radiography | Supraclavicular lymph nodes Suspicious Radiography | Infraclavicular lymph nodes Suspicious Radiography | Internal mammary lymph nodes Suspicious Radiography | Exception Negative Lymph Node
Item
5. palpable or radiographically suspicious ipsilateral or contralateral axillary, supraclavicular, infraclavicular, or internal mammary nodes, unless there is histologic confirmation that these nodes are negative for tumor
boolean
C0729594 (UMLS CUI [1,1])
C0441989 (UMLS CUI [1,2])
C0750493 (UMLS CUI [1,3])
C0522499 (UMLS CUI [1,4])
C0729594 (UMLS CUI [2,1])
C0441988 (UMLS CUI [2,2])
C0750493 (UMLS CUI [2,3])
C0522499 (UMLS CUI [2,4])
C0229730 (UMLS CUI [3,1])
C0750493 (UMLS CUI [3,2])
C0522499 (UMLS CUI [3,3])
C0229743 (UMLS CUI [4,1])
C0750493 (UMLS CUI [4,2])
C0522499 (UMLS CUI [4,3])
C0542554 (UMLS CUI [5,1])
C0750493 (UMLS CUI [5,2])
C0522499 (UMLS CUI [5,3])
C0729594 (UMLS CUI [6,1])
C0441989 (UMLS CUI [6,2])
C0750493 (UMLS CUI [6,3])
C0034571 (UMLS CUI [6,4])
C0729594 (UMLS CUI [7,1])
C0441988 (UMLS CUI [7,2])
C0750493 (UMLS CUI [7,3])
C0034571 (UMLS CUI [7,4])
C0229730 (UMLS CUI [8,1])
C0750493 (UMLS CUI [8,2])
C0034571 (UMLS CUI [8,3])
C0229743 (UMLS CUI [9,1])
C0750493 (UMLS CUI [9,2])
C0034571 (UMLS CUI [9,3])
C0542554 (UMLS CUI [10,1])
C0750493 (UMLS CUI [10,2])
C0034571 (UMLS CUI [10,3])
C1705847 (UMLS CUI [11,1])
C0678034 (UMLS CUI [11,2])
Breast Microcalcification Ipsilateral Suspicious | Breast Microcalcification Contralateral Suspicious | Breast Density Ipsilateral Suspicious | Breast Density Contralateral Suspicious | Abnormality of the breast Ipsilateral Suspicious Palpable | Abnormality of the breast Contralateral Suspicious Palpable | Exception Abnormality Benign Biopsy
Item
6. suspicious microcalcifications, densities, or palpable abnormalities (in the ipsilateral or contralateral breast) unless biopsied and found to be benign
boolean
C0520594 (UMLS CUI [1,1])
C0441989 (UMLS CUI [1,2])
C0750493 (UMLS CUI [1,3])
C0520594 (UMLS CUI [2,1])
C0441988 (UMLS CUI [2,2])
C0750493 (UMLS CUI [2,3])
C1659543 (UMLS CUI [3,1])
C0441989 (UMLS CUI [3,2])
C0750493 (UMLS CUI [3,3])
C1659543 (UMLS CUI [4,1])
C0441988 (UMLS CUI [4,2])
C0750493 (UMLS CUI [4,3])
C4025829 (UMLS CUI [5,1])
C0441989 (UMLS CUI [5,2])
C0750493 (UMLS CUI [5,3])
C0522499 (UMLS CUI [5,4])
C4025829 (UMLS CUI [6,1])
C0441988 (UMLS CUI [6,2])
C0750493 (UMLS CUI [6,3])
C0522499 (UMLS CUI [6,4])
C1705847 (UMLS CUI [7,1])
C1704258 (UMLS CUI [7,2])
C0205183 (UMLS CUI [7,3])
C0005558 (UMLS CUI [7,4])
Breast Carcinoma not involving Epithelium | Sarcoma | Lymphoma
Item
7. non-epithelial breast malignancies such as sarcoma or lymphoma
boolean
C0678222 (UMLS CUI [1,1])
C0205429 (UMLS CUI [1,2])
C0014609 (UMLS CUI [1,3])
C1261473 (UMLS CUI [2])
C0024299 (UMLS CUI [3])
Multicentric Breast Carcinoma Quadrant Quantity | Invasive cancer | DCIS
Item
8. proven multicentric carcinoma (invasive cancer or dcis) in more than one quadrant or separated by 4 or more centimeters
boolean
C2986664 (UMLS CUI [1,1])
C1631280 (UMLS CUI [1,2])
C1265611 (UMLS CUI [1,3])
C0677898 (UMLS CUI [2])
C0007124 (UMLS CUI [3])
Paget's Disease of the Nipple
Item
9. paget's disease of the nipple
boolean
C1704323 (UMLS CUI [1])
Invasive carcinoma of breast Bilateral Synchronous | Breast Carcinoma Except Invasive carcinoma of breast
Item
10. synchronous bilateral invasive or non-invasive breast cancer
boolean
C0853879 (UMLS CUI [1,1])
C0238767 (UMLS CUI [1,2])
C0439580 (UMLS CUI [1,3])
C0678222 (UMLS CUI [2,1])
C0332300 (UMLS CUI [2,2])
C0853879 (UMLS CUI [2,3])
Medical History Invasive cancer | Medical History DCIS
Item
11. history of invasive breast cancer or dcis (patients with a history of lobular carcinoma in situ (lcis) treated by surgery alone are eligible.)
boolean
C0262926 (UMLS CUI [1,1])
C0677898 (UMLS CUI [1,2])
C0262926 (UMLS CUI [2,1])
C0007124 (UMLS CUI [2,2])
Surgical margins Microscopy Assessment Unsuccessful | Surgical margins Positive Evaluation Pathologic
Item
12. surgical margins that cannot be microscopically assessed or are positive at pathologic evaluation (if surgical margins are rendered free of disease by reexcision, the patient is eligible.)
boolean
C0229985 (UMLS CUI [1,1])
C0026018 (UMLS CUI [1,2])
C1516048 (UMLS CUI [1,3])
C1272705 (UMLS CUI [1,4])
C0229985 (UMLS CUI [2,1])
C1514241 (UMLS CUI [2,2])
C1261322 (UMLS CUI [2,3])
C1521733 (UMLS CUI [2,4])
Radiotherapy to lymph nodes regional
Item
13. treatment plan that includes regional nodal irradiation
boolean
C1504399 (UMLS CUI [1,1])
C0205147 (UMLS CUI [1,2])
Antineoplastic Agents, Hormonal | Raloxifene | Evista | Tamoxifen | Selective Estrogen Receptor Modulators | Prophylactic treatment Osteoporosis | Prophylactic treatment Breast Carcinoma
Item
14. current therapy with any hormonal agents such as raloxifene (evista®), tamoxifen, or other selective estrogen receptor modulators (serms), either for osteoporosis or breast cancer prevention (patients are eligible only if these medications are discontinued prior to enrollment.)
boolean
C0282559 (UMLS CUI [1])
C0244404 (UMLS CUI [2])
C0720318 (UMLS CUI [3])
C0039286 (UMLS CUI [4])
C0732611 (UMLS CUI [5])
C0199176 (UMLS CUI [6,1])
C0029456 (UMLS CUI [6,2])
C0199176 (UMLS CUI [7,1])
C0678222 (UMLS CUI [7,2])
Breast implants cosmetic
Item
15. cosmetic breast implants (patients who have had implants removed are eligible.)
boolean
C0179412 (UMLS CUI [1,1])
C0010164 (UMLS CUI [1,2])
Radiotherapy to breast | Radiotherapy to thorax
Item
16. prior breast or thoracic rt for any condition
boolean
C0948310 (UMLS CUI [1])
C4038705 (UMLS CUI [2])
Collagen-vascular disease | Dermatomyositis | Elevated creatine kinase | Exanthema | Lupus Erythematosus, Systemic | Scleroderma
Item
17. collagen vascular disease, specifically dermatomyositis with a cpk level above normal or with an active skin rash, systemic lupus erythematosis, or scleroderma
boolean
C0262428 (UMLS CUI [1])
C0011633 (UMLS CUI [2])
C0151576 (UMLS CUI [3])
C0015230 (UMLS CUI [4])
C0024141 (UMLS CUI [5])
C0011644 (UMLS CUI [6])
Pregnancy | Breast Feeding | Childbearing Potential Contraceptive methods | Exception Hormonal contraception
Item
18. pregnancy or lactation at the time of proposed randomization. women of reproductive potential must agree to use an effective non-hormonal method of contraception during therapy.
boolean
C0032961 (UMLS CUI [1])
C0006147 (UMLS CUI [2])
C3831118 (UMLS CUI [3,1])
C0700589 (UMLS CUI [3,2])
C1705847 (UMLS CUI [4,1])
C2985296 (UMLS CUI [4,2])
Mental disorders Exclude Protocol Compliance | Addictive Behavior Excludes Protocol Compliance | Condition Excludes Protocol Compliance
Item
19. psychiatric or addictive disorders or other conditions that, in the opinion of the investigator, would preclude the patient from meeting the study requirements
boolean
C0004936 (UMLS CUI [1,1])
C0332196 (UMLS CUI [1,2])
C0525058 (UMLS CUI [1,3])
C0085281 (UMLS CUI [2,1])
C0332196 (UMLS CUI [2,2])
C0525058 (UMLS CUI [2,3])
C0348080 (UMLS CUI [3,1])
C0332196 (UMLS CUI [3,2])
C0525058 (UMLS CUI [3,3])