Whole-breast irradiation is the standard radiotherapy technique used after breast-conserving surgery. In the accelerated partial breast irradiation (APBI) protocols, only the lumpectomy bed plus a 1–2 cm margin are irradiated. The utility of APBI as sole adjuvant radiation therapy for early invasive and in situ breast cancer was investigated in a phase III randomized trial performed in 16 European hospitals. In patients who received APBI, disease-free survival and overall survival were similar to patients who received conventional whole-breast irradiation, validating APBI as an adjuvant radiation therapy option for breast cancer.