A Phase III Clinical Trial Evaluating De-Escalation of Breast Radiation for Conservative Treatment of Stage I, Hormone Sensitive, HER-2 Negative, Oncotype Recurrence Score Less Than or Equal to 18 Breast Cancer
Summary
This Phase III Trial evaluates whether breast conservation surgery and endocrine therapy results in a non-inferior rate of invasive or non-invasive ipsilateral breast tumor recurrence (IBTR) compared to breast conservation with breast radiation and endocrine therapy.
Detailed description
Breast conservation therapy for early stage breast cancer has been an important achievement of oncology practice in the last half century and breast radiotherapy (RT) has been essential in its development. Several seminal randomized clinical trials conducted in the 1980's era demonstrated that breast radiotherapy following lumpectomy yielded overall survival outcomes equivalent to mastectomy for treatment of early stage invasive breast cancer leading to the National Institute of Health (NIH) Consensus Conference statement in 1991 supporting breast conservation treatment.This established lumpectomy with RT as an alternative to mastectomy and subsequently the rate of breast conservation for eligible breast cancer patients rose steadily. Shortly thereafter, investigators recognized that the toxicity, patient burden, and geographic barriers associated with the protracted treatment course for breast RT was a potential barrier to breast conservation utilization. Numerous phase III clinical trials were conducted randomizing women post lumpectomy to RT vs. observation aimed at identifying which cases did not derive a significant RT benefit. No such subsets of breast cancer patients were consistently identified, thereby solidifying the standard that breast conservation required both lumpectomy and RT. Two meta-analyses by the Early Breast Cancer Trialists Collaborative Group (EBCTCG) in 2005 and 2011 further reinforced the value of breast RT post lumpectomy by examining the relationship of local recurrence and breast cancer mortality relative to the use of breast RT post lumpectomy. In each analysis, it found for axillary node negative breast cancer patients undergoing breast conservation a small but consistent increase in breast cancer mortality when breast radiotherapy was omitted. As a result, breast RT after lumpectomy has become an established paradigm for breast conservation for early stage breast cancer and is recommended by the NCCN 2018 guidelines (as it has for nearly two decades) that are commonly used today by clinicians and health systems alike. The landscape of early stage breast cancer has changed dramatically over the past three decades since the establishment of breast conservation. Widespread screening with mammography has led to the diagnosis of smaller and earlier stage disease. All breast cancers are now routinely characterized by their hormone sensitivity based on the presence of estrogen and progesterone receptors on tumor cells within the biopsy or surgical specimen and presence of HER2 (human epidermal growth factor receptor 2) which has provided an additional means of stratifying breast cancer into distinct prognostic groups. Small, node negative invasive breast cancer that is hormone sensitive (HS) and HER2-negative has a lower overall recurrence rate (local, regional, and distant) than breast cancers characterized by more adverse clinical pathologic features. However, other than in a smaller subset of women greater than 70 years old, clinical trials in this HS population still demonstrated unacceptable local recurrence risks long term after lumpectomy alone emphasizing that clinical and pathologic features are insufficient for consistently identifying when RT can safely be omitted.
Arms & interventions
- OtherRadiation and Endocrine Therapy (Tamoxifen, Anastrozol, Letrozole, Exemestane)
Post lumpectomy radiation therapy will be external beam radiation to either the whole breast + boost, partial breast irradiation, or Accelerated Partial Breast Irradiation that must begin within 12 weeks of the last breast cancer surgery(including re-excision of margins). Endocrine therapy for a minimum of 5 years. The specific regimen of endocrine therapy is at the treating physician's discretion. The dose and schedule of the drug(s) used for endocrine therapy should be consistent with the instructions in the drug package insert(s). Endocrine therapy may be initiated before, during, or after completion of radiation therapy at the discretion of the investigator.
- DrugEndocrine Therapy (Tamoxifen, Anastrozol, Letrozole, Exemestane)
Endocrine therapy for a minimum of 5 years. The specific regimen of endocrine therapy is at the treating physician's discretion. The dose and schedule of the drug(s) used for endocrine therapy should be consistent with the instructions in the drug package insert(s).
Outcome measures
Primary
Time to invasive or noninvasive IBTR.
Time from randomization to any invasive or noninvasive IBTR or last follow-up (expressed as % IBTR-free)
Time frame: 5 years
Secondary
Percent of women with an intact index breast at report of the primary endpoint inclusive of salvage second breast conservation procedures.
Time frame: Through study completion, an average of 15 years.
Time from randomization to the first occurrence of invasive ipsilateral breast tumor recurrence.
Time frame: 5 years
Time from randomization to diagnosis of a local, regional or distant recurrence as a first cancer event.
Time frame: 5 years
Time from randomization to the first distant cancer event (either a recurrence or a secondary primary cancer).
Time frame: 5 years
Time from randomization to any death.
Time frame: 5 years
Eligibility criteria
Study locations (812)
University of Alabama at Birmingham Cancer Center
Birmingham, Alabama, 35233
University of South Alabama Mitchell Cancer Institute
Mobile, Alabama, 36688
Kingman Regional Medical Center
Kingman, Arizona, 86401
Cancer Center at Saint Joseph's
Phoenix, Arizona, 85004
Mayo Clinic Hospital in Arizona
Phoenix, Arizona, 85054
University of Arkansas for Medical Sciences
Little Rock, Arkansas, 72205
Kaiser Permanente-Anaheim
Anaheim, California, 92806
Kaiser Permanente-Deer Valley Medical Center
Antioch, California, 94531
Mission Hope Medical Oncology - Arroyo Grande
Arroyo Grande, California, 93420
PCR Oncology
Arroyo Grande, California, 93420
Sutter Auburn Faith Hospital
Auburn, California, 95602
Sutter Cancer Centers Radiation Oncology Services-Auburn
Auburn, California, 95603
Kaiser Permanente-Bellflower
Bellflower, California, 90706
Alta Bates Summit Medical Center-Herrick Campus
Berkeley, California, 94704
Tower Cancer Research Foundation
Beverly Hills, California, 90211
Mercy Cancer Center - Carmichael
Carmichael, California, 95608
Mercy San Juan Medical Center
Carmichael, California, 95608
Epic Care-Dublin
Dublin, California, 94568
Kaiser Permanente Dublin
Dublin, California, 94568
Mercy Cancer Center - Elk Grove
Elk Grove, California, 95758
Bay Area Breast Surgeons Inc
Emeryville, California, 94608
Epic Care Partners in Cancer Care
Emeryville, California, 94608
Kaiser Permanente-Fremont
Fremont, California, 94538
Palo Alto Medical Foundation-Fremont
Fremont, California, 94538
Washington Hospital
Fremont, California, 94538
Fresno Cancer Center
Fresno, California, 93720
Kaiser Permanente Fresno Orchard Plaza
Fresno, California, 93720
Kaiser Permanente-Fresno
Fresno, California, 93720
UCI Health - Chao Family Comprehensive Cancer Center and Ambulatory Care
Irvine, California, 92612
Kaiser Permanente Los Angeles Medical Center
Los Angeles, California, 90027
Los Angeles General Medical Center
Los Angeles, California, 90033
USC / Norris Comprehensive Cancer Center
Los Angeles, California, 90033
Cedars Sinai Medical Center
Los Angeles, California, 90048
Contra Costa Regional Medical Center
Martinez, California, 94553-3156
Memorial Medical Center
Modesto, California, 95355
Kaiser Permanente- Modesto MOB II
Modesto, California, 95356
Kaiser Permanente-Modesto
Modesto, California, 95356
Palo Alto Medical Foundation-Camino Division
Mountain View, California, 94040
Bay Area Tumor Institute
Oakland, California, 94609
Kaiser Permanente Oakland-Broadway
Oakland, California, 94611
Kaiser Permanente-Oakland
Oakland, California, 94611
Kaiser Permanente-Ontario
Ontario, California, 91761
Saint Joseph Hospital - Orange
Orange, California, 92868
UC Irvine Health/Chao Family Comprehensive Cancer Center
Orange, California, 92868
Palo Alto Medical Foundation Health Care
Palo Alto, California, 94301
Stanford Cancer Institute Palo Alto
Palo Alto, California, 94304
Huntington Memorial Hospital
Pasadena, California, 91105
Kaiser Permanente-Rancho Cordova Cancer Center
Rancho Cordova, California, 95670
Kaiser Permanente- Marshall Medical Offices
Redwood City, California, 94063
Kaiser Permanente-Richmond
Richmond, California, 94801
Kaiser Permanente-Riverside
Riverside, California, 92505
Mercy Cancer Center - Rocklin
Rocklin, California, 95765
Rohnert Park Cancer Center
Rohnert Park, California, 94928
Kaiser Permanente-Roseville
Roseville, California, 95661
Sutter Cancer Centers Radiation Oncology Services-Roseville
Roseville, California, 95661
Sutter Roseville Medical Center
Roseville, California, 95661
The Permanente Medical Group-Roseville Radiation Oncology
Roseville, California, 95678
Kaiser Permanente Downtown Commons
Sacramento, California, 95814
Mercy Cancer Center - Sacramento
Sacramento, California, 95816
Sutter Medical Center Sacramento
Sacramento, California, 95816
University of California Davis Comprehensive Cancer Center
Sacramento, California, 95817
Kaiser Permanente-South Sacramento
Sacramento, California, 95823
South Sacramento Cancer Center
Sacramento, California, 95823
California Pacific Medical Center-Pacific Campus
San Francisco, California, 94115
Kaiser Permanente-San Francisco
San Francisco, California, 94115
Kaiser Permanente-Santa Teresa-San Jose
San Jose, California, 95119
Stanford Cancer Center South Bay
San Jose, California, 95124
Kaiser Permanente San Leandro
San Leandro, California, 94577
Pacific Central Coast Health Center-San Luis Obispo
San Luis Obispo, California, 93401
Kaiser San Rafael-Gallinas
San Rafael, California, 94903
Ridley-Tree Cancer Center
Santa Barbara, California, 93105
Kaiser Permanente Medical Center - Santa Clara
Santa Clara, California, 95051
USC Norris Santa Clarita Oncology
Santa Clarita, California, 91355
Dominican Santa Cruz Hospital
Santa Cruz, California, 95065
Palo Alto Medical Foundation-Santa Cruz
Santa Cruz, California, 95065
Mission Hope Medical Oncology - Santa Maria
Santa Maria, California, 93444
Kaiser Permanente-Santa Rosa
Santa Rosa, California, 95403
Sutter Pacific Medical Foundation
Santa Rosa, California, 95403
Kaiser Permanente Cancer Treatment Center
South San Francisco, California, 94080
Kaiser Permanente-South San Francisco
South San Francisco, California, 94080
Saint Helena Hospital
St. Helena, California, 94574
Kaiser Permanente-Stockton
Stockton, California, 95210
Palo Alto Medical Foundation-Sunnyvale
Sunnyvale, California, 94086
Cedars-Sinai Cancer - Tarzana
Tarzana, California, 91356
Torrance Memorial Physician Network - Cancer Care
Torrance, California, 90505
Torrance Memorial Medical Center
Torrance, California, 90509
Gene Upshaw Memorial Tahoe Forest Cancer Center
Truckee, California, 96161
Kaiser Permanente Medical Center-Vacaville
Vacaville, California, 95688
Kaiser Permanente-Vallejo
Vallejo, California, 94589
Sutter Solano Medical Center/Cancer Center
Vallejo, California, 94589
Kaiser Permanente-Walnut Creek
Walnut Creek, California, 94596
Woodland Memorial Hospital
Woodland, California, 95695
UCHealth University of Colorado Hospital
Aurora, Colorado, 80045
Rocky Mountain Cancer Centers-Boulder
Boulder, Colorado, 80304
Penrose-Saint Francis Healthcare
Colorado Springs, Colorado, 80907
UCHealth Memorial Hospital Central
Colorado Springs, Colorado, 80909
Saint Francis Cancer Center
Colorado Springs, Colorado, 80923
UCHealth - Cherry Creek
Denver, Colorado, 80206
AdventHealth Porter
Denver, Colorado, 80210
Rose Medical Center
Denver, Colorado, 80220
Dillon Health Center/Shaw Cancer Center
Dillon, Colorado, 80435
Shaw Cancer Center
Edwards, Colorado, 81632
Mountain Blue Cancer Care Center - Swedish
Englewood, Colorado, 80113
Swedish Medical Center
Englewood, Colorado, 80113
The Melanoma and Skin Cancer Institute
Englewood, Colorado, 80113
Poudre Valley Hospital
Fort Collins, Colorado, 80524
Cancer Care and Hematology-Fort Collins
Fort Collins, Colorado, 80528
Lutheran Hospital - Cancer Centers of Colorado
Golden, Colorado, 80401
UCHealth Greeley Hospital
Greeley, Colorado, 80631
UCHealth Highlands Ranch Hospital
Highlands Ranch, Colorado, 80129
AdventHealth Littleton
Littleton, Colorado, 80122
UCHealth Lone Tree Health Center
Lone Tree, Colorado, 80124
Longmont United Hospital
Longmont, Colorado, 80501
Medical Center of the Rockies
Loveland, Colorado, 80538
AdventHealth Parker
Parker, Colorado, 80138
Saint Anthony North Hospital
Westminster, Colorado, 80023
Smilow Cancer Hospital-Derby Care Center
Derby, Connecticut, 06418
Smilow Cancer Hospital Care Center-Fairfield
Fairfield, Connecticut, 06824
Smilow Cancer Hospital Care Center at Glastonbury
Glastonbury, Connecticut, 06033
Smilow Cancer Hospital Care Center at Greenwich
Greenwich, Connecticut, 06830
Smilow Cancer Hospital Care Center - Guilford
Guilford, Connecticut, 06437
Smilow Cancer Hospital-Hamden Care Center
Hamden, Connecticut, 06518
Smilow Cancer Hospital Care Center at Saint Francis
Hartford, Connecticut, 06105
Yale-New Haven Hospital Saint Raphael Campus
New Haven, Connecticut, 06511
Yale University
New Haven, Connecticut, 06520
Yale-New Haven Hospital North Haven Medical Center
North Haven, Connecticut, 06473
Smilow Cancer Hospital-Orange Care Center
Orange, Connecticut, 06477
Smilow Cancer Hospital Care Center at Long Ridge
Stamford, Connecticut, 06902
Smilow Cancer Hospital-Torrington Care Center
Torrington, Connecticut, 06790
Smilow Cancer Hospital Care Center-Trumbull
Trumbull, Connecticut, 06611
Smilow Cancer Hospital-Waterbury Care Center
Waterbury, Connecticut, 06708
Smilow Cancer Hospital Care Center - Waterford
Waterford, Connecticut, 06385
Beebe Medical Center
Lewes, Delaware, 19958
Beebe South Coastal Health Campus
Millville, Delaware, 19967
Delaware Clinical and Laboratory Physicians PA
Newark, Delaware, 19713
Helen F Graham Cancer Center
Newark, Delaware, 19713
Medical Oncology Hematology Consultants PA
Newark, Delaware, 19713
Christiana Care Health System-Christiana Hospital
Newark, Delaware, 19718
Beebe Health Campus
Rehoboth Beach, Delaware, 19971
MedStar Georgetown University Hospital
Washington D.C., District of Columbia, 20007
MedStar Washington Hospital Center
Washington D.C., District of Columbia, 20010
George Washington University Medical Center
Washington D.C., District of Columbia, 20037
AdventHealth Altamonte
Altamonte Springs, Florida, 32701
GenesisCare USA - Aventura FP
Aventura, Florida, 33180
GenesisCare USA - Aventura
Aventura, Florida, 33180
Mount Sinai Comprehensive Cancer Center at Aventura
Aventura, Florida, 33180
Florida Cancer Specialists - Bradenton Cancer Center
Bradenton, Florida, 34205
UM Sylvester Comprehensive Cancer Center at Coral Gables
Coral Gables, Florida, 33146
UM Sylvester Comprehensive Cancer Center at Deerfield Beach
Deerfield Beach, Florida, 33442
UM Sylvester Comprehensive Cancer Center at Doral
Doral, Florida, 33166
Regional Cancer Center-Lee Memorial Health System
Fort Myers, Florida, 33905
UF Health Cancer Institute - Gainesville
Gainesville, Florida, 32610
Mayo Clinic in Florida
Jacksonville, Florida, 32224-9980
The Watson Clinic
Lakeland, Florida, 33805
University of Miami Miller School of Medicine-Sylvester Cancer Center
Miami, Florida, 33136
Mount Sinai Medical Center
Miami Beach, Florida, 33140
Sarasota Memorial Hospital-Venice
N. Venice, Florida, 34275
Health Central
Ocoee, Florida, 34761
AdventHealth Orlando
Orlando, Florida, 32803
Orlando Health Cancer Institute
Orlando, Florida, 32806
GenesisCare USA - Plantation
Plantation, Florida, 33324
UM Sylvester Comprehensive Cancer Center at Plantation
Plantation, Florida, 33324
Florida Cancer Specialists - Sarasota
Sarasota, Florida, 34232
Intercoastal Medical Group - Cattleridge II
Sarasota, Florida, 34232
Florida Cancer Specialists - Sarasota Downtown
Sarasota, Florida, 34236
First Physicians Group - Silverstein Institute at Floyd Street
Sarasota, Florida, 34239
First Physicians Group - Urology Robotic and Minimally Invasive Surgery
Sarasota, Florida, 34239
First Physicians Group-Sarasota
Sarasota, Florida, 34239
Sarasota Memorial Hospital
Sarasota, Florida, 34239
Sarasota Memorial Health Care Center at University Parkway
Sarasota, Florida, 34243
Tampa General Hospital
Tampa, Florida, 33606
Saint Joseph's Hospital/Children's Hospital-Tampa
Tampa, Florida, 33607
Florida Cancer Specialists - Venice Pinebrook
Venice, Florida, 34275
Florida Cancer Specialists - Venice Island
Venice, Florida, 34285
Cleveland Clinic-Weston
Weston, Florida, 33331
Winter Haven Hospital
Winter Haven, Florida, 33881
Northside Hospital-Alpharetta
Alpharetta, Georgia, 30005
Grady Health System
Atlanta, Georgia, 30303
Emory University Hospital Midtown
Atlanta, Georgia, 30308
Piedmont Hospital
Atlanta, Georgia, 30309
Emory University Hospital/Winship Cancer Institute
Atlanta, Georgia, 30322
Emory Saint Joseph's Hospital
Atlanta, Georgia, 30342
Northside Hospital
Atlanta, Georgia, 30342
Northside Hospital-Cherokee
Canton, Georgia, 30115
Northside Hospital-Forsyth
Cumming, Georgia, 30041
Emory Decatur Hospital
Decatur, Georgia, 30033
Piedmont Fayette Hospital
Fayetteville, Georgia, 30214
Emory Johns Creek Hospital
Johns Creek, Georgia, 30097
Piedmont Newnan Hospital
Newnan, Georgia, 30265
Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
Savannah, Georgia, 31405
Piedmont Henry Hospital
Stockbridge, Georgia, 30281
Hawaii Cancer Care Inc - Waterfront Plaza
Honolulu, Hawaii, 96813
Queen's Cancer Cenrer - POB I
Honolulu, Hawaii, 96813
Queen's Medical Center
Honolulu, Hawaii, 96813
Straub Clinic and Hospital
Honolulu, Hawaii, 96813
University of Hawaii Cancer Center
Honolulu, Hawaii, 96813
Hawaii Cancer Care Inc-Liliha
Honolulu, Hawaii, 96817
Kuakini Medical Center
Honolulu, Hawaii, 96817
Queen's Cancer Center - Kuakini
Honolulu, Hawaii, 96817
The Cancer Center of Hawaii-Liliha
Honolulu, Hawaii, 96817
Kaiser Permanente Moanalua Medical Center
Honolulu, Hawaii, 96819
Kapiolani Medical Center for Women and Children
Honolulu, Hawaii, 96826
Castle Medical Center
Kailua, Hawaii, 96734
Wilcox Memorial Hospital and Kauai Medical Clinic
Lihue, Hawaii, 96766
Hawaii Cancer Care - Westridge
‘Aiea, Hawaii, 96701
Pali Momi Medical Center
‘Aiea, Hawaii, 96701
Queen's Cancer Center - Pearlridge
‘Aiea, Hawaii, 96701
The Cancer Center of Hawaii-Pali Momi
‘Aiea, Hawaii, 96701
The Queen's Medical Center - West Oahu
‘Ewa Beach, Hawaii, 96706
Saint Alphonsus Cancer Care Center-Boise
Boise, Idaho, 83706
Saint Alphonsus Cancer Care Center-Caldwell
Caldwell, Idaho, 83605
Kootenai Health - Coeur d'Alene
Coeur d'Alene, Idaho, 83814
Saint Alphonsus Cancer Care Center-Nampa
Nampa, Idaho, 83687
Alton Memorial Hospital
Alton, Illinois, 62002
Rush-Copley Medical Center
Aurora, Illinois, 60504
Advocate Outpatient Center - Aurora
Aurora, Illinois, 60506
Advocate Good Shepherd Hospital
Barrington, Illinois, 60010
OSF Saint Joseph Medical Center
Bloomington, Illinois, 61701
Illinois CancerCare-Bloomington
Bloomington, Illinois, 61704
Illinois CancerCare-Canton
Canton, Illinois, 61520
Memorial Hospital of Carbondale
Carbondale, Illinois, 62902
SIH Cancer Institute
Carterville, Illinois, 62918
Illinois CancerCare-Carthage
Carthage, Illinois, 62321
Centralia Oncology Clinic
Centralia, Illinois, 62801
Saint Mary's Hospital
Centralia, Illinois, 62801
Northwestern University
Chicago, Illinois, 60611
John H Stroger Jr Hospital of Cook County
Chicago, Illinois, 60612
Rush MD Anderson Cancer Center
Chicago, Illinois, 60612
University of Chicago Comprehensive Cancer Center
Chicago, Illinois, 60637
Advocate Illinois Masonic Medical Center
Chicago, Illinois, 60657
AMG Crystal Lake - Oncology
Crystal Lake, Illinois, 60014
Carle at The Riverfront
Danville, Illinois, 61832
Cancer Care Specialists of Illinois - Decatur
Decatur, Illinois, 62526
Decatur Memorial Hospital
Decatur, Illinois, 62526
Northwestern Medicine Cancer Center Kishwaukee
DeKalb, Illinois, 60115
Advocate Good Samaritan Hospital
Downers Grove, Illinois, 60515
Carle Physician Group-Effingham
Effingham, Illinois, 62401
Crossroads Cancer Center
Effingham, Illinois, 62401
Advocate Sherman Hospital
Elgin, Illinois, 60123
Elmhurst Memorial Hospital
Elmhurst, Illinois, 60126
Illinois CancerCare-Eureka
Eureka, Illinois, 61530
Illinois CancerCare-Galesburg
Galesburg, Illinois, 61401
Western Illinois Cancer Treatment Center
Galesburg, Illinois, 61401
Northwestern Medicine Cancer Center Delnor
Geneva, Illinois, 60134
Northwestern Medicine Glenview Outpatient Center
Glenview, Illinois, 60026
Northwestern Medicine Grayslake Outpatient Center
Grayslake, Illinois, 60030
Ingalls Memorial Hospital
Harvey, Illinois, 60426
Advocate South Suburban Hospital
Hazel Crest, Illinois, 60429
Illinois CancerCare-Kewanee Clinic
Kewanee, Illinois, 61443
Northwestern Medicine Lake Forest Hospital
Lake Forest, Illinois, 60045
AMG Libertyville - Oncology
Libertyville, Illinois, 60048
Condell Memorial Hospital
Libertyville, Illinois, 60048
Illinois CancerCare-Macomb
Macomb, Illinois, 61455
Carle Physician Group-Mattoon/Charleston
Mattoon, Illinois, 61938
Loyola University Medical Center
Maywood, Illinois, 60153
Edward Hospital/Cancer Center
Naperville, Illinois, 60540
UC Comprehensive Cancer Center at Silver Cross
New Lenox, Illinois, 60451
Carle BroMenn Medical Center
Normal, Illinois, 61761
Carle Cancer Institute Normal
Normal, Illinois, 61761
Cancer Care Center of O'Fallon
O'Fallon, Illinois, 62269
HSHS Saint Elizabeth's Hospital
O'Fallon, Illinois, 62269
Advocate Christ Medical Center
Oak Lawn, Illinois, 60453-2699
Northwestern Medicine Orland Park
Orland Park, Illinois, 60462
University of Chicago Medicine-Orland Park
Orland Park, Illinois, 60462
Illinois CancerCare-Ottawa Clinic
Ottawa, Illinois, 61350
Advocate High Tech Medical Park
Palos Heights, Illinois, 60463
Advocate Lutheran General Hospital
Park Ridge, Illinois, 60068
Illinois CancerCare-Pekin
Pekin, Illinois, 61554
Illinois CancerCare-Peoria
Peoria, Illinois, 61615
OSF Saint Francis Radiation Oncology at Peoria Cancer Center
Peoria, Illinois, 61615
Methodist Medical Center of Illinois
Peoria, Illinois, 61636
OSF Saint Francis Medical Center
Peoria, Illinois, 61637
Illinois CancerCare-Peru
Peru, Illinois, 61354
Edward Hospital/Cancer Center?Plainfield
Plainfield, Illinois, 60585
Illinois CancerCare-Princeton
Princeton, Illinois, 61356
UW Health Carbone Cancer Center Rockford
Rockford, Illinois, 61114
Memorial Hospital East
Shiloh, Illinois, 62269
Carle Cancer Center
Urbana, Illinois, 61801
The Carle Foundation Hospital
Urbana, Illinois, 61801
Northwestern Medicine Cancer Center Warrenville
Warrenville, Illinois, 60555
Illinois CancerCare - Washington
Washington, Illinois, 61571
Midwestern Regional Medical Center
Zion, Illinois, 60099
IU Health West Hospital
Avon, Indiana, 46123
IU Health North Hospital
Carmel, Indiana, 46032
Northwest Cancer Center - Main Campus
Crown Point, Indiana, 46307
UChicago Medicine Northwest Indiana
Crown Point, Indiana, 46307
Northwest Oncology LLC
Dyer, Indiana, 46311
Northwest Cancer Center - Hobart
Hobart, Indiana, 46342
Saint Mary Medical Center
Hobart, Indiana, 46342
Indiana University/Melvin and Bren Simon Cancer Center
Indianapolis, Indiana, 46202
IU Health Methodist Hospital
Indianapolis, Indiana, 46202
Franciscan Health Indianapolis
Indianapolis, Indiana, 46237
Franciscan Health Mooresville
Mooresville, Indiana, 46158
The Community Hospital
Munster, Indiana, 46321
Women's Diagnostic Center - Munster
Munster, Indiana, 46321
Reid Health
Richmond, Indiana, 47374
Northwest Cancer Center - Valparaiso
Valparaiso, Indiana, 46383
Mary Greeley Medical Center
Ames, Iowa, 50010
McFarland Clinic - Ames
Ames, Iowa, 50010
UI Health Care Mission Cancer and Blood - Ankeny Clinic
Ankeny, Iowa, 50023
Saint Luke's Hospital
Cedar Rapids, Iowa, 52402
Mercy Cancer Center-West Lakes
Clive, Iowa, 50325
UI Health Care Mission Cancer and Blood - West Des Moines Clinic
Clive, Iowa, 50325
Greater Regional Medical Center
Creston, Iowa, 50801
Iowa Methodist Medical Center
Des Moines, Iowa, 50309
UI Health Care Mission Cancer and Blood - Des Moines Clinic
Des Moines, Iowa, 50309
Broadlawns Medical Center
Des Moines, Iowa, 50314
Mercy Medical Center - Des Moines
Des Moines, Iowa, 50314
UI Health Care Mission Cancer and Blood - Laurel Clinic
Des Moines, Iowa, 50314
UI Health Care Mission Cancer and Blood - Waukee Clinic
Waukee, Iowa, 50263
Mercy Medical Center-West Lakes
West Des Moines, Iowa, 50266
University of Kansas Cancer Center
Kansas City, Kansas, 66160
The University of Kansas Cancer Center - Olathe
Olathe, Kansas, 66061
University of Kansas Cancer Center-Overland Park
Overland Park, Kansas, 66210
University of Kansas Hospital-Indian Creek Campus
Overland Park, Kansas, 66211
Cancer Center of Kansas - Salina
Salina, Kansas, 67401
Salina Regional Health Center
Salina, Kansas, 67401
University of Kansas Health System Saint Francis Campus
Topeka, Kansas, 66606
University of Kansas Hospital-Westwood Cancer Center
Westwood, Kansas, 66205
Cancer Center of Kansas-Wichita Medical Arts Tower
Wichita, Kansas, 67208
Ascension Via Christi Hospitals Wichita
Wichita, Kansas, 67214
Cancer Center of Kansas - Wichita
Wichita, Kansas, 67214
Saint Joseph Hospital
Lexington, Kentucky, 40504
Saint Joseph Radiation Oncology Resource Center
Lexington, Kentucky, 40504
Saint Joseph Hospital East
Lexington, Kentucky, 40509
University of Kentucky/Markey Cancer Center
Lexington, Kentucky, 40536
Ochsner Hematology Oncology North Shore - Covington (West Region)
Covington, Louisiana, 70433
Louisiana State University Health Science Center
New Orleans, Louisiana, 70112
Tulane University School of Medicine
New Orleans, Louisiana, 70112
University Medical Center New Orleans
New Orleans, Louisiana, 70112
Ochsner Medical Center Jefferson
New Orleans, Louisiana, 70121
LSU Health Sciences Center at Shreveport
Shreveport, Louisiana, 71103
Ochsner LSU Health - Cancer Treatment Center
Shreveport, Louisiana, 71106
Lafayette Family Cancer Center-EMMC
Brewer, Maine, 04412
University of Maryland/Greenebaum Cancer Center
Baltimore, Maryland, 21201
Greater Baltimore Medical Center
Baltimore, Maryland, 21204
Sinai Hospital of Baltimore
Baltimore, Maryland, 21215
Saint Agnes Hospital
Baltimore, Maryland, 21229
MedStar Franklin Square Medical Center/Weinberg Cancer Institute
Baltimore, Maryland, 21237
MedStar Good Samaritan Hospital
Baltimore, Maryland, 21239
UM Upper Chesapeake Medical Center
Bel Air, Maryland, 21014
MedStar Health Bel Air Medical Campus
Bel Air, Maryland, 21015
Central Maryland Radiation Oncology in Howard County
Columbia, Maryland, 21044
University of Maryland Shore Medical Center at Easton
Easton, Maryland, 21601
UM Baltimore Washington Medical Center/Tate Cancer Center
Glen Burnie, Maryland, 21061
Kaiser Permanente - Largo Medical Center
Largo, Maryland, 20774
UM Capital Region Medical Center
Largo, Maryland, 20774
Kaiser Permanente Lutherville - Timonium Medical Center
Lutherville, Maryland, 21093
TidalHealth Richard A Henson Cancer Institute
Ocean Pines, Maryland, 21811
TidalHealth Peninsula Regional
Salisbury, Maryland, 21801
UM Saint Joseph Medical Center
Towson, Maryland, 21204
Boston Medical Center
Boston, Massachusetts, 02118
Lowell General Hospital
Lowell, Massachusetts, 01854
Trinity Health Saint Joseph Mercy Hospital Ann Arbor
Ann Arbor, Michigan, 48106
University of Michigan Rogel Cancer Center
Ann Arbor, Michigan, 48109
Bronson Battle Creek
Battle Creek, Michigan, 49017
McLaren Cancer Institute-Bay City
Bay City, Michigan, 48706
Trinity Health IHA Medical Group Hematology Oncology - Brighton
Brighton, Michigan, 48114
Trinity Health Medical Center - Brighton
Brighton, Michigan, 48114
University of Michigan - Brighton Center for Specialty Care
Brighton, Michigan, 48116
Henry Ford Cancer Institute-Downriver
Brownstown, Michigan, 48183
Trinity Health IHA Medical Group Hematology Oncology - Canton
Canton, Michigan, 48188
Trinity Health Medical Center - Canton
Canton, Michigan, 48188
Caro Cancer Center
Caro, Michigan, 48723
Chelsea Hospital
Chelsea, Michigan, 48118
Trinity Health IHA Medical Group Hematology Oncology - Chelsea Hospital
Chelsea, Michigan, 48118
McLaren Cancer Institute-Clarkston
Clarkston, Michigan, 48346
Michigan Healthcare Professionals Clarkston
Clarkston, Michigan, 48346
Henry Ford Macomb Hospital-Clinton Township
Clinton Township, Michigan, 48038
Henry Ford Medical Center-Fairlane
Dearborn, Michigan, 48126
Wayne State University/Karmanos Cancer Institute
Detroit, Michigan, 48201
Henry Ford Hospital
Detroit, Michigan, 48202
Henry Ford Health Saint John Hospital
Detroit, Michigan, 48236
Michigan Healthcare Professionals Farmington
Farmington Hills, Michigan, 48334
Weisberg Cancer Treatment Center
Farmington Hills, Michigan, 48334
Corewell Health Farmington Hills Hospital
Farmington Hills, Michigan, 48336
Genesys Hurley Cancer Institute
Flint, Michigan, 48503
Hurley Medical Center
Flint, Michigan, 48503
McLaren Cancer Institute-Flint
Flint, Michigan, 48532
Corewell Health Grand Rapids Hospitals - Butterworth Hospital
Grand Rapids, Michigan, 49503
Corewell Health Grand Rapids Hospitals - Helen DeVos Children's Hospital
Grand Rapids, Michigan, 49503
Trinity Health Grand Rapids Hospital
Grand Rapids, Michigan, 49503
Allegiance Health
Jackson, Michigan, 49201
Bronson Methodist Hospital
Kalamazoo, Michigan, 49007
West Michigan Cancer Center
Kalamazoo, Michigan, 49007
Beacon Kalamazoo
Kalamazoo, Michigan, 49048
Karmanos Cancer Institute at McLaren Greater Lansing
Lansing, Michigan, 48910
McLaren Cancer Institute-Lapeer Region
Lapeer, Michigan, 48446
Trinity Health Saint Mary Mercy Livonia Hospital
Livonia, Michigan, 48154
Michigan Healthcare Professionals Macomb
Macomb, Michigan, 48044
Michigan Healthcare Professionals Madison Heights
Madison Heights, Michigan, 48071
Saint Mary's Oncology/Hematology Associates of Marlette
Marlette, Michigan, 48453
McLaren Cancer Institute-Macomb
Mount Clemens, Michigan, 48043
McLaren Cancer Institute-Central Michigan
Mount Pleasant, Michigan, 48858
Trinity Health Muskegon Hospital
Muskegon, Michigan, 49444
Corewell Health Lakeland Hospitals - Niles Hospital
Niles, Michigan, 49120
Cancer and Hematology Centers of Western Michigan - Norton Shores
Norton Shores, Michigan, 49444
Henry Ford Medical Center-Columbus
Novi, Michigan, 48377
McLaren Cancer Institute-Northern Michigan
Petoskey, Michigan, 49770
Michigan Healthcare Professionals Pontiac
Pontiac, Michigan, 48341
Trinity Health Saint Joseph Mercy Oakland Hospital
Pontiac, Michigan, 48341
McLaren-Port Huron
Port Huron, Michigan, 48060
Corewell Health William Beaumont University Hospital
Royal Oak, Michigan, 48073
MyMichigan Medical Center Saginaw
Saginaw, Michigan, 48601
Oncology Hematology Associates of Saginaw Valley PC
Saginaw, Michigan, 48604
Corewell Health Lakeland Hospitals - Marie Yeager Cancer Center
Saint Joseph, Michigan, 49085
Corewell Health Lakeland Hospitals - Saint Joseph Hospital
Saint Joseph, Michigan, 49085
MyMichigan Medical Center Tawas
Tawas City, Michigan, 48764
Munson Medical Center
Traverse City, Michigan, 49684
Corewell Health Beaumont Troy Hospital
Troy, Michigan, 48085
Michigan Healthcare Professionals Troy
Troy, Michigan, 48098
Henry Ford Health Warren Hospital
Warren, Michigan, 48093
Henry Ford West Bloomfield Hospital
West Bloomfield, Michigan, 48322
Saint Mary's Oncology/Hematology Associates of West Branch
West Branch, Michigan, 48661
Henry Ford Wyandotte Hospital
Wyandotte, Michigan, 48192
University of Michigan Health - West
Wyoming, Michigan, 49519
Trinity Health IHA Medical Group Hematology Oncology Ann Arbor Campus
Ypsilanti, Michigan, 48197
Mayo Clinic Health System in Albert Lea
Albert Lea, Minnesota, 56007
Fairview Ridges Hospital
Burnsville, Minnesota, 55337
Minnesota Oncology - Burnsville
Burnsville, Minnesota, 55337
Mercy Hospital
Coon Rapids, Minnesota, 55433
Fairview Southdale Hospital
Edina, Minnesota, 55435
Unity Hospital
Fridley, Minnesota, 55432
Mayo Clinic Health Systems-Mankato
Mankato, Minnesota, 56001
Fairview Clinics and Surgery Center Maple Grove
Maple Grove, Minnesota, 55369
Minnesota Oncology Hematology PA-Maplewood
Maplewood, Minnesota, 55109
Abbott-Northwestern Hospital
Minneapolis, Minnesota, 55407
Health Partners Inc
Minneapolis, Minnesota, 55454
Monticello Cancer Center
Monticello, Minnesota, 55362
North Memorial Medical Health Center
Robbinsdale, Minnesota, 55422
Mayo Clinic in Rochester
Rochester, Minnesota, 55905
Coborn Cancer Center at Saint Cloud Hospital
Saint Cloud, Minnesota, 56303
Park Nicollet Clinic - Saint Louis Park
Saint Louis Park, Minnesota, 55416
Regions Hospital
Saint Paul, Minnesota, 55101
United Hospital
Saint Paul, Minnesota, 55102
Saint Francis Regional Medical Center
Shakopee, Minnesota, 55379
Lakeview Hospital
Stillwater, Minnesota, 55082
Ridgeview Medical Center
Waconia, Minnesota, 55387
Minnesota Oncology Hematology PA-Woodbury
Woodbury, Minnesota, 55125
Gulfport Memorial Hospital
Gulfport, Mississippi, 39502
Saint Francis Medical Center
Cape Girardeau, Missouri, 63703
Siteman Cancer Center at Saint Peters Hospital
City of Saint Peters, Missouri, 63376
MU Health - University Hospital/Ellis Fischel Cancer Center
Columbia, Missouri, 65212
Siteman Cancer Center at West County Hospital
Creve Coeur, Missouri, 63141
Parkland Health Center - Farmington
Farmington, Missouri, 63640
MU Health Care Goldschmidt Cancer Center
Jefferson City, Missouri, 65109
Freeman Health System
Joplin, Missouri, 64804
University of Kansas Cancer Center - Briarcliff
Kansas City, Missouri, 64116
University of Kansas Cancer Center - North
Kansas City, Missouri, 64154
University of Kansas Cancer Center - Lee's Summit
Lee's Summit, Missouri, 64064
University of Kansas Cancer Center at North Kansas City Hospital
North Kansas City, Missouri, 64116
Mercy Clinic-Rolla-Cancer and Hematology
Rolla, Missouri, 65401
Phelps Health Delbert Day Cancer Institute
Rolla, Missouri, 65401
Heartland Regional Medical Center
Saint Joseph, Missouri, 64506
Sainte Genevieve County Memorial Hospital
Sainte Genevieve, Missouri, 63670
Mercy Hospital Springfield
Springfield, Missouri, 65804
CoxHealth South Hospital
Springfield, Missouri, 65807
Washington University School of Medicine
St Louis, Missouri, 63110
Mercy Hospital South
St Louis, Missouri, 63128
Siteman Cancer Center-South County
St Louis, Missouri, 63129
Missouri Baptist Medical Center
St Louis, Missouri, 63131
Siteman Cancer Center at Christian Hospital
St Louis, Missouri, 63136
Mercy Hospital Saint Louis
St Louis, Missouri, 63141
Missouri Baptist Sullivan Hospital
Sullivan, Missouri, 63080
BJC Outpatient Center at Sunset Hills
Sunset Hills, Missouri, 63127
Billings Clinic Cancer Center
Billings, Montana, 59101
Bozeman Health Deaconess Hospital
Bozeman, Montana, 59715
Benefis Sletten Cancer Institute
Great Falls, Montana, 59405
Community Medical Center
Missoula, Montana, 59804
Nebraska Medicine-Bellevue
Bellevue, Nebraska, 68123
CHI Health Good Samaritan
Kearney, Nebraska, 68847
Cancer Partners of Nebraska
Lincoln, Nebraska, 68516
Nebraska Medicine-Village Pointe
Omaha, Nebraska, 68118
University of Nebraska Medical Center
Omaha, Nebraska, 68198
OptumCare Cancer Care at Seven Hills
Henderson, Nevada, 89052
OptumCare Cancer Care at Charleston
Las Vegas, Nevada, 89102
Radiation Oncology Centers of Nevada Central
Las Vegas, Nevada, 89106
Radiation Oncology Centers of Nevada Southeast
Las Vegas, Nevada, 89119
OptumCare Cancer Care at MountainView
Las Vegas, Nevada, 89128
Alliance for Childhood Diseases/Cure 4 the Kids Foundation
Las Vegas, Nevada, 89135
Summerlin Hospital Medical Center
Las Vegas, Nevada, 89144
Comprehensive Cancer Centers of Nevada
Las Vegas, Nevada, 89148
OptumCare Cancer Care at Fort Apache
Las Vegas, Nevada, 89148
Comprehensive Cancer Centers of Nevada - Central Valley
Las Vegas, Nevada, 89169
Renown Regional Medical Center
Reno, Nevada, 89502
New Hampshire Oncology Hematology PA-Concord
Concord, New Hampshire, 03301
Dartmouth Hitchcock Medical Center/Dartmouth Cancer Center
Lebanon, New Hampshire, 03756
Solinsky Center for Cancer Care
Manchester, New Hampshire, 03103
Memorial Sloan Kettering Basking Ridge
Basking Ridge, New Jersey, 07920
Memorial Sloan Kettering Monmouth
Middletown, New Jersey, 07748
Memorial Sloan Kettering Bergen
Montvale, New Jersey, 07645
Virtua Samson Cancer Center
Moorestown, New Jersey, 08057
Morristown Medical Center
Morristown, New Jersey, 07960
Capital Health Medical Center-Hopewell
Pennington, New Jersey, 08534
Chilton Medical Center
Pompton, New Jersey, 07444
Overlook Hospital
Summit, New Jersey, 07902
Holy Name Hospital
Teaneck, New Jersey, 07666
Virtua Voorhees
Voorhees Township, New Jersey, 08043
University of New Mexico Cancer Center
Albuquerque, New Mexico, 87106
Mount Sinai Queens
Astoria, New York, 11102
Northwell Health Imbert Cancer Center
Bay Shore, New York, 11706
Lourdes Hospital
Binghamton, New York, 13905
NYU Langone Hospital - Brooklyn
Brooklyn, New York, 11220
Roswell Park Cancer Institute
Buffalo, New York, 14263
Hematology Oncology Associates of CNY at Camillus
Camillus, New York, 13031
Sands Cancer Center
Canandaigua, New York, 14424
Memorial Sloan Kettering Commack
Commack, New York, 11725
Mary Imogene Bassett Hospital
Cooperstown, New York, 13326
The Cancer Institute at Saint Francis Hospital
East Hills, New York, 11548
Hematology Oncology Associates of Central New York-East Syracuse
East Syracuse, New York, 13057
Arnot Ogden Medical Center/Falck Cancer Center
Elmira, New York, 14905
Glens Falls Hospital
Glens Falls, New York, 12801
Northwell Health Cancer Institute at Huntington
Greenlawn, New York, 11740
Memorial Sloan Kettering Westchester
Harrison, New York, 10604
Northwell Health/Center for Advanced Medicine
Lake Success, New York, 11042
NYU Langone Hospital - Long Island
Mineola, New York, 11501
Northern Westchester Hospital
Mount Kisco, New York, 10549
Mount Sinai Union Square
New York, New York, 10003
Mount Sinai Chelsea
New York, New York, 10011
Laura and Isaac Perlmutter Cancer Center at NYU Langone
New York, New York, 10016
Mount Sinai West
New York, New York, 10019
Mount Sinai Hospital
New York, New York, 10029
Manhattan Eye Ear and Throat Hospital
New York, New York, 10065
Memorial Sloan Kettering Cancer Center
New York, New York, 10065
Lenox Hill Hospital
New York, New York, 10075
Upstate Cancer Center at Oswego
Oswego, New York, 13126
Upstate Cancer Center Radiation Oncology at Oswego
Oswego, New York, 13126
Wilmot Cancer Institute Radiation Oncology at Greece
Rochester, New York, 14606
Highland Hospital
Rochester, New York, 14620
Pluta Cancer Center
Rochester, New York, 14623
University of Rochester
Rochester, New York, 14642
Mercy Hospital-Rockville Center
Rockville Centre, New York, 11570
Phelps Memorial Hospital Center
Sleepy Hollow, New York, 10591
Staten Island University Hospital
Staten Island, New York, 10305
Stony Brook University Medical Center
Stony Brook, New York, 11794
State University of New York Upstate Medical University
Syracuse, New York, 13210
Upstate Cancer Center at Hill Radiation Oncology
Syracuse, New York, 13210
SUNY Upstate Medical Center-Community Campus
Syracuse, New York, 13215
Montefiore Medical Center-Einstein Campus
The Bronx, New York, 10461
Montefiore Medical Center-Weiler Hospital
The Bronx, New York, 10461
Montefiore Medical Center - Moses Campus
The Bronx, New York, 10467
Memorial Sloan Kettering Nassau
Uniondale, New York, 11553
Upstate Cancer Center at Verona
Verona, New York, 13478
Wilmot Cancer Institute at Webster
Webster, New York, 14580
Atrium Health Stanly/LCI-Albemarle
Albemarle, North Carolina, 28002
Mission Hospital
Asheville, North Carolina, 28801
Hope Women's Cancer Centers-Asheville
Asheville, North Carolina, 28816
Carolinas Medical Center/Levine Cancer Institute
Charlotte, North Carolina, 28203
Novant Health Presbyterian Medical Center
Charlotte, North Carolina, 28204
Atrium Health Pineville/LCI-Pineville
Charlotte, North Carolina, 28210
Levine Cancer Institute-SouthPark
Charlotte, North Carolina, 28211
Atrium Health University City/LCI-University
Charlotte, North Carolina, 28262
Levine Cancer Institute-Ballantyne
Charlotte, North Carolina, 28277
Wake Forest University at Clemmons
Clemmons, North Carolina, 27012
Atrium Health Cabarrus/LCI-Concord
Concord, North Carolina, 28025
Levine Cancer Institute - Rutherford
Forest City, North Carolina, 28043
East Carolina University
Greenville, North Carolina, 27834
Margaret R Pardee Memorial Hospital
Hendersonville, North Carolina, 28791
Hayworth Cancer Center
High Point, North Carolina, 27262
Novant Health Cancer Institute - Huntersville
Huntersville, North Carolina, 28078
Novant Health Cancer Institute - Kernersville
Kernersville, North Carolina, 27284
Levine Cancer Institute - Union West
Matthews, North Carolina, 28104
Matthews Radiation Oncology Center
Matthews, North Carolina, 28105
Novant Health Cancer Institute - Matthews
Matthews, North Carolina, 28105
Atrium Health Union/LCI-Union
Monroe, North Carolina, 28112
Novant Health Cancer Institute - Mooresville
Mooresville, North Carolina, 28117
Novant Health Cancer Institute - Mount Airy
Mount Airy, North Carolina, 27030
CarolinaEast Medical Center
New Bern, North Carolina, 28561
Novant Health Cancer Institute - Wilkesboro
North Wilkesboro, North Carolina, 28659
Novant Health Cancer Institute - Rowan
Salisbury, North Carolina, 28144
Rowan Regional Medical Center
Salisbury, North Carolina, 28144
Atrium Health Cleveland/LCI-Cleveland
Shelby, North Carolina, 28150
Novant Health Cancer Institute - Statesville
Statesville, North Carolina, 28625
Novant Health Cancer Institute - Thomasville
Thomasville, North Carolina, 27360
Novant Health Forsyth Medical Center
Winston-Salem, North Carolina, 27103
Wake Forest University Health Sciences
Winston-Salem, North Carolina, 27157
Sanford Broadway Medical Center
Fargo, North Dakota, 58122
Sanford Roger Maris Cancer Center
Fargo, North Dakota, 58122
Altru Cancer Center
Grand Forks, North Dakota, 58201
Summa Health System - Akron Campus
Akron, Ohio, 44304
Cleveland Clinic Akron General
Akron, Ohio, 44307
UH Seidman Cancer Center at UH Avon Health Center
Avon, Ohio, 44011
Summa Health System - Barberton Campus
Barberton, Ohio, 44203
UHHS-Chagrin Highlands Medical Center
Beachwood, Ohio, 44122
Indu and Raj Soin Medical Center
Beavercreek, Ohio, 45431
Cleveland Clinic Mercy Hospital
Canton, Ohio, 44708
Aultman Health Foundation
Canton, Ohio, 44710
Dayton Physicians LLC-Miami Valley South
Centerville, Ohio, 45459
Miami Valley Hospital South
Centerville, Ohio, 45459
University of Cincinnati Cancer Center-UC Medical Center
Cincinnati, Ohio, 45219
Case Western Reserve University
Cleveland, Ohio, 44106
MetroHealth Medical Center
Cleveland, Ohio, 44109
Cleveland Clinic Cancer Center/Fairview Hospital
Cleveland, Ohio, 44111
Cleveland Clinic Foundation
Cleveland, Ohio, 44195
Ohio State University Comprehensive Cancer Center
Columbus, Ohio, 43210
Mount Carmel East Hospital
Columbus, Ohio, 43213
Riverside Methodist Hospital
Columbus, Ohio, 43214
Grant Medical Center
Columbus, Ohio, 43215
Mount Carmel Health Center West
Columbus, Ohio, 43222
Doctors Hospital
Columbus, Ohio, 43228
Miami Valley Hospital
Dayton, Ohio, 45409
Premier Blood and Cancer Center
Dayton, Ohio, 45409
Dayton Physician LLC - Englewood
Dayton, Ohio, 45415
Miami Valley Hospital North
Dayton, Ohio, 45415
Delaware Health Center-Grady Cancer Center
Delaware, Ohio, 43015
Grady Memorial Hospital
Delaware, Ohio, 43015
Dublin Methodist Hospital
Dublin, Ohio, 43016
Armes Family Cancer Center
Findlay, Ohio, 45840
Blanchard Valley Hospital
Findlay, Ohio, 45840
Orion Cancer Care
Findlay, Ohio, 45840
Atrium Medical Center-Middletown Regional Hospital
Franklin, Ohio, 45005-1066
Dayton Physicians LLC-Atrium
Franklin, Ohio, 45005
Miami Valley Cancer Care and Infusion
Greenville, Ohio, 45331
Mount Carmel Grove City Hospital
Grove City, Ohio, 43123
Greater Dayton Cancer Center
Kettering, Ohio, 45409
Kettering Medical Center
Kettering, Ohio, 45429
OhioHealth Mansfield Hospital
Mansfield, Ohio, 44903
Cleveland Clinic Cancer Center Mansfield
Mansfield, Ohio, 44906
OhioHealth Marion General Hospital
Marion, Ohio, 43302
Hillcrest Hospital Cancer Center
Mayfield Heights, Ohio, 44124
Summa Health Medina Medical Center
Medina, Ohio, 44256
UH Seidman Cancer Center at Lake Health Mentor Campus
Mentor, Ohio, 44060
UH Seidman Cancer Center at Southwest General Hospital
Middleburg Heights, Ohio, 44130
Mount Carmel New Albany Surgical Hospital
New Albany, Ohio, 43054
University Hospitals Parma Medical Center
Parma, Ohio, 44129
University Hospitals Portage Medical Center
Ravenna, Ohio, 44266
North Coast Cancer Care
Sandusky, Ohio, 44870
UH Seidman Cancer Center at Firelands Regional Medical Center
Sandusky, Ohio, 44870
Cleveland Clinic Cancer Center Strongsville
Strongsville, Ohio, 44136
ProMedica Flower Hospital
Sylvania, Ohio, 43560
ProMedica Toledo Hospital/Russell J Ebeid Children's Hospital
Toledo, Ohio, 43606
Dayton Physicians LLC - Troy
Troy, Ohio, 45373
Upper Valley Medical Center
Troy, Ohio, 45373
South Pointe Hospital
Warrensville Heights, Ohio, 44122
University of Cincinnati Cancer Center-West Chester
West Chester, Ohio, 45069
Cleveland Clinic Wooster Family Health and Surgery Center
Wooster, Ohio, 44691
Genesis Healthcare System Cancer Care Center
Zanesville, Ohio, 43701
University of Oklahoma Health Sciences Center
Oklahoma City, Oklahoma, 73104
Mercy Hospital Oklahoma City
Oklahoma City, Oklahoma, 73120
Clackamas Radiation Oncology Center
Clackamas, Oregon, 97015
Providence Cancer Institute Clackamas Clinic
Clackamas, Oregon, 97015
Legacy Mount Hood Medical Center
Gresham, Oregon, 97030
Providence Newberg Medical Center
Newberg, Oregon, 97132
Providence Willamette Falls Medical Center
Oregon City, Oregon, 97045
Legacy Good Samaritan Hospital and Medical Center
Portland, Oregon, 97210
Providence Portland Medical Center
Portland, Oregon, 97213
Providence Saint Vincent Medical Center
Portland, Oregon, 97225
Kaiser Permanente Northwest
Portland, Oregon, 97227
Oregon Health and Science University
Portland, Oregon, 97239
Legacy Meridian Park Hospital
Tualatin, Oregon, 97062
Saint Luke's Cancer Center - Allentown
Allentown, Pennsylvania, 18104
Saint Luke's University Hospital-Bethlehem Campus
Bethlehem, Pennsylvania, 18015
Crozer-Keystone Regional Cancer Center at Broomall
Broomall, Pennsylvania, 19008
Christiana Care Health System-Concord Health Center
Chadds Ford, Pennsylvania, 19317
Chambersburg Hospital
Chambersburg, Pennsylvania, 17201
Geisinger Medical Center
Danville, Pennsylvania, 17822
Mercy Fitzgerald Hospital
Darby, Pennsylvania, 19023-1291
Northeast Radiation Oncology Center
Dunmore, Pennsylvania, 18512
Fox Chase Cancer Center - East Norriton Hospital Outpatient Center
East Norriton, Pennsylvania, 19401
Saint Luke's Hospital-Anderson Campus
Easton, Pennsylvania, 18045
Ephrata Cancer Center
Ephrata, Pennsylvania, 17522
Saint Vincent Hospital
Erie, Pennsylvania, 16544
Fox Chase Cancer Center Buckingham
Furlong, Pennsylvania, 18925
Adams Cancer Center
Gettysburg, Pennsylvania, 17325
Crozer Regional Cancer Center at Brinton Lake
Glen Mills, Pennsylvania, 19342
Penn State Milton S Hershey Medical Center
Hershey, Pennsylvania, 17033-0850
Jefferson Hospital
Jefferson Hills, Pennsylvania, 15025
Sechler Family Cancer Center
Lebanon, Pennsylvania, 17042
Geisinger Medical Oncology-Lewisburg
Lewisburg, Pennsylvania, 17837
Yolanda G Barco Oncology Institute
Meadville, Pennsylvania, 16335
Forbes Hospital
Monroeville, Pennsylvania, 15146
Allegheny Valley Hospital
Natrona Heights, Pennsylvania, 15065
Thomas Jefferson University Hospital
Philadelphia, Pennsylvania, 19107
Fox Chase Cancer Center
Philadelphia, Pennsylvania, 19111
Jefferson Torresdale Hospital
Philadelphia, Pennsylvania, 19114
Temple University Hospital
Philadelphia, Pennsylvania, 19140
Reading Hospital McGlinn Cancer Institute at Phoenixville
Phoenixville, Pennsylvania, 19460
Allegheny General Hospital
Pittsburgh, Pennsylvania, 15212
West Penn Hospital
Pittsburgh, Pennsylvania, 15224
Geisinger Cancer Services-Pottsville
Pottsville, Pennsylvania, 17901
Saint Luke's Hospital - Upper Bucks Campus
Quakertown, Pennsylvania, 18951
Saint Luke's Hospital-Quakertown Campus
Quakertown, Pennsylvania, 18951
Guthrie Medical Group PC-Robert Packer Hospital
Sayre, Pennsylvania, 18840
Grand View Hospital
Sellersville, Pennsylvania, 18960
Saint Luke's Hospital - Monroe Campus
Stroudsburg, Pennsylvania, 18360
Wexford Health and Wellness Pavilion
Wexford, Pennsylvania, 15090
Geisinger Wyoming Valley/Henry Cancer Center
Wilkes-Barre, Pennsylvania, 18711
Asplundh Cancer Pavilion
Willow Grove, Pennsylvania, 19090
WellSpan Health-York Cancer Center
York, Pennsylvania, 17403
WellSpan Health-York Hospital
York, Pennsylvania, 17403
Rhode Island Hospital
Providence, Rhode Island, 02903
Women and Infants Hospital
Providence, Rhode Island, 02905
Kent Hospital
Warwick, Rhode Island, 02886
Smilow Cancer Hospital Care Center - Westerly
Westerly, Rhode Island, 02891
Saint Joseph's/Candler - Bluffton Campus
Bluffton, South Carolina, 29910
Medical University of South Carolina
Charleston, South Carolina, 29425
McLeod Regional Medical Center
Florence, South Carolina, 29506
Tidelands Georgetown Memorial Hospital
Georgetown, South Carolina, 29440
The Radiation Oncology Center-Hilton Head/Bluffton
Hilton Head Island, South Carolina, 29926
Carolina Regional Cancer Center
Myrtle Beach, South Carolina, 29577
Beaufort Memorial/New River Cancer Center
Okatie, South Carolina, 29909
Rock Hill Radiation Therapy Center
Rock Hill, South Carolina, 29730
Levine Cancer Institute-Rock Hill
Rock Hill, South Carolina, 29732
Rapid City Regional Hospital
Rapid City, South Dakota, 57701
Sanford Cancer Center Oncology Clinic
Sioux Falls, South Dakota, 57104
Sanford USD Medical Center - Sioux Falls
Sioux Falls, South Dakota, 57117-5134
University of Tennessee - Knoxville
Knoxville, Tennessee, 37920
The Children's Hospital at TriStar Centennial
Nashville, Tennessee, 37203
Vanderbilt Breast Center at One Hundred Oaks
Nashville, Tennessee, 37204
Vanderbilt University/Ingram Cancer Center
Nashville, Tennessee, 37232
Hendrick Medical Center
Abilene, Texas, 79601
Houston Methodist San Jacinto Hospital
Baytown, Texas, 77521
MD Anderson in The Woodlands
Conroe, Texas, 77384
Houston Methodist Cypress Hospital
Cypress, Texas, 77429
Brooke Army Medical Center
Fort Sam Houston, Texas, 78234
University of Texas Medical Branch
Galveston, Texas, 77555-0565
Houston Methodist Hospital
Houston, Texas, 77030
M D Anderson Cancer Center
Houston, Texas, 77030
Methodist Willowbrook Hospital
Houston, Texas, 77070
MD Anderson West Houston
Houston, Texas, 77079
Houston Methodist West Hospital
Houston, Texas, 77094
Doctor's Hospital of Laredo
Laredo, Texas, 78041
MD Anderson League City
League City, Texas, 77573
UMC Cancer Center / UMC Health System
Lubbock, Texas, 79415
Texas Tech University Health Sciences Center-Lubbock
Lubbock, Texas, 79430
Houston Methodist Saint John Hospital
Nassau Bay, Texas, 77058
University of Texas Health Science Center at San Antonio
San Antonio, Texas, 78229
MD Anderson in Sugar Land
Sugar Land, Texas, 77478
Houston Methodist Sugar Land Hospital
Sugar Land, Texas, 77479
Houston Methodist The Woodlands Hospital
The Woodlands, Texas, 77385
American Fork Hospital / Huntsman Intermountain Cancer Center
American Fork, Utah, 84003
Sandra L Maxwell Cancer Center
Cedar City, Utah, 84720
Logan Regional Hospital
Logan, Utah, 84321
Intermountain Medical Center
Murray, Utah, 84107
McKay-Dee Hospital Center
Ogden, Utah, 84403
Utah Valley Regional Medical Center
Provo, Utah, 84604
Riverton Hospital
Riverton, Utah, 84065
Utah Cancer Specialists-Salt Lake City
Salt Lake City, Utah, 84106
LDS Hospital
Salt Lake City, Utah, 84143
Saint George Regional Medical Center
St. George, Utah, 84770
University of Vermont Medical Center
Burlington, Vermont, 05401
University of Vermont and State Agricultural College
Burlington, Vermont, 05405
Dartmouth Cancer Center - North
Saint Johnsbury, Vermont, 05819
Bon Secours Memorial Regional Medical Center
Mechanicsville, Virginia, 23116
VCU Massey Cancer Center at Hanover Medical Park
Mechanicsville, Virginia, 23116
Bon Secours Saint Francis Medical Center
Midlothian, Virginia, 23114
Naval Medical Center - Portsmouth
Portsmouth, Virginia, 23708-2197
Bon Secours Saint Mary's Hospital
Richmond, Virginia, 23226
Bon Secours Cancer Institute at Reynolds Crossing
Richmond, Virginia, 23230
VCU Massey Cancer Center at Stony Point
Richmond, Virginia, 23235
VCU Massey Comprehensive Cancer Center
Richmond, Virginia, 23298
VCU Community Memorial Health Center
South Hill, Virginia, 23970
PeaceHealth Saint Joseph Medical Center
Bellingham, Washington, 98225
Swedish Cancer Institute-Edmonds
Edmonds, Washington, 98026
Swedish Cancer Institute-Issaquah
Issaquah, Washington, 98029
Skagit Regional Health Cancer Care Center
Mount Vernon, Washington, 98274
Swedish Medical Center-Ballard Campus
Seattle, Washington, 98107
Swedish Medical Center-Cherry Hill
Seattle, Washington, 98122-5711
Swedish Medical Center-First Hill
Seattle, Washington, 98122
Saint Michael Cancer Center
Silverdale, Washington, 98383
Legacy Cancer Institute Medical Oncology and Day Treatment
Vancouver, Washington, 98684
Legacy Salmon Creek Hospital
Vancouver, Washington, 98686
Edwards Comprehensive Cancer Center
Huntington, West Virginia, 25701
Langlade Hospital and Cancer Center
Antigo, Wisconsin, 54409
ThedaCare Regional Cancer Center
Appleton, Wisconsin, 54911
Aurora Cancer Care-Southern Lakes VLCC
Burlington, Wisconsin, 53105
HSHS Sacred Heart Hospital
Eau Claire, Wisconsin, 54701
Marshfield Medical Center-EC Cancer Center
Eau Claire, Wisconsin, 54701
Saint Agnes Hospital/Agnesian Cancer Center
Fond du Lac, Wisconsin, 54935
Aurora Health Center-Fond du Lac
Fond du Lac, Wisconsin, 54937
Aurora Health Care Germantown Health Center
Germantown, Wisconsin, 53022
Aurora Cancer Care-Grafton
Grafton, Wisconsin, 53024
Saint Vincent Hospital Cancer Center Green Bay
Green Bay, Wisconsin, 54301
Saint Vincent Hospital Cancer Center at Saint Mary's
Green Bay, Wisconsin, 54303
Aurora BayCare Medical Center
Green Bay, Wisconsin, 54311
University of Wisconsin Carbone Cancer Center - Johnson Creek
Johnson Creek, Wisconsin, 53038
Aurora Cancer Care-Kenosha South
Kenosha, Wisconsin, 53142
Mayo Clinic Health System-Franciscan Healthcare
La Crosse, Wisconsin, 54601
University of Wisconsin Carbone Cancer Center - Eastpark Medical Center
Madison, Wisconsin, 53718
University of Wisconsin Carbone Cancer Center - University Hospital
Madison, Wisconsin, 53792
Aurora Bay Area Medical Group-Marinette
Marinette, Wisconsin, 54143
Marshfield Medical Center-Marshfield
Marshfield, Wisconsin, 54449
Aspirus Medford Hospital
Medford, Wisconsin, 54451
Froedtert Menomonee Falls Hospital
Menomonee Falls, Wisconsin, 53051
Aurora Cancer Care-Milwaukee
Milwaukee, Wisconsin, 53209
Aurora Saint Luke's Medical Center
Milwaukee, Wisconsin, 53215
Medical College of Wisconsin
Milwaukee, Wisconsin, 53226
Aurora Sinai Medical Center
Milwaukee, Wisconsin, 53233
Marshfield Medical Center - Minocqua
Minocqua, Wisconsin, 54548
ProHealth D N Greenwald Center
Mukwonago, Wisconsin, 53149
Cancer Center of Western Wisconsin
New Richmond, Wisconsin, 54017
Drexel Town Square Health Center
Oak Creek, Wisconsin, 53154
ProHealth Oconomowoc Memorial Hospital
Oconomowoc, Wisconsin, 53066
Vince Lombardi Cancer Clinic - Oshkosh
Oshkosh, Wisconsin, 54904
Aurora Cancer Care-Racine
Racine, Wisconsin, 53406
Aspirus Cancer Care - James Beck Cancer Center
Rhinelander, Wisconsin, 54501
Marshfield Medical Center-Rice Lake
Rice Lake, Wisconsin, 54868
Saint Vincent Hospital Cancer Center at Sheboygan
Sheboygan, Wisconsin, 53081
Sheboygan Physicians Group
Sheboygan, Wisconsin, 53081
Vince Lombardi Cancer Clinic-Sheboygan
Sheboygan, Wisconsin, 53081
Aspirus Cancer Care - Stevens Point
Stevens Point, Wisconsin, 54481
Marshfield Medical Center-River Region at Stevens Point
Stevens Point, Wisconsin, 54482
Saint Vincent Hospital Cancer Center at Sturgeon Bay
Sturgeon Bay, Wisconsin, 54235-1495
Aurora Medical Center in Summit
Summit, Wisconsin, 53066
Vince Lombardi Cancer Clinic-Two Rivers
Two Rivers, Wisconsin, 54241
UW Cancer Center at ProHealth Care
Waukesha, Wisconsin, 53188
Aspirus Regional Cancer Center
Wausau, Wisconsin, 54401
Aurora Cancer Care-Milwaukee West
Wauwatosa, Wisconsin, 53226
Aurora West Allis Medical Center
West Allis, Wisconsin, 53227
Froedtert West Bend Hospital/Kraemer Cancer Center
West Bend, Wisconsin, 53095
Marshfield Medical Center - Weston
Weston, Wisconsin, 54476
Aspirus Cancer Care - Wisconsin Rapids
Wisconsin Rapids, Wisconsin, 54494
References
- Ho AY, Bellon JR. Overcoming Resistance - Omission of Radiotherapy for Low-Risk Breast Cancer. N Engl J Med. 2023 Feb 16;388(7):652-653. doi: 10.1056/NEJMe2216133. No abstract available.(PubMed)