a comparison in cosmetic results of cobalt 60 and photon 9 mega volt for the whole breast radiotherapy in breast cancer patients with breast conserving surgery

نویسندگان

sh babazade breast cancer study group, isfahan university of medical sciences, isfahan, iran

h emami school of medicine, isfahan university of medical sciences, isfahan, iran

ar amouheidari breast cancer study group, isfahan university of medical sciences, isfahan, iran

m roayaei breast cancer study group, isfahan university of medical sciences, isfahan, iran

چکیده

background: to compare the cosmetic results of whole breast radiotherapy between cobalt 60 and photon 9megavolt in patients underwent breast conserving surgery. methods: the patients with breast saving surgery who were treated by whole breast radiotherapy with either cobalt 60 or photon 9mv between 2001-2006 in sayed-al-shohada hospital entered the study. the cosmetic results were evaluated by an expert radiation oncologist with definite criteria. results: frothy patients in cobalt 60 group and 43 patients in photon group were compared, with median follow up of 40.5 months. the patients in photon group had less telangectasia and discoloration (p=0.018 and p=0.01, respectively). the consistency of breast in photon group was better (p=0.019), but for fibrosis the difference was not statistically significant (p=0.055).overall cosmetic results in photon group was much better rather than cobalt 60 group (p=0.005). no recurrences were observed in both groups. conclusion:   cosmetic results in group with photon 9mv were superior to cobalt group, but the effect of these two beam energy on disease free survival (dfs) and /or overall survival (os) should be in more consideration.

برای دانلود باید عضویت طلایی داشته باشید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

the study of aaag repeat polymorphism in promoter of errg gene and its association with the risk of breast cancer in isfahan region

چکیده: سرطان پستان دومین عامل مرگ مرتبط با سرطان در خانم ها است. از آنجا که سرطان پستان یک تومور وابسته به هورمون است، می تواند توسط وضعیت هورمون های استروئیدی شامل استروژن و پروژسترون تنظیم شود. استروژن نقش مهمی در توسعه و پیشرفت سرطان پستان ایفا می کند و تاثیر خود را روی بیان ژن های هدف از طریق گیرنده های استروژن اعمال می کند. اما گروه دیگری از گیرنده های هسته ای به نام گیرنده های مرتبط به ا...

15 صفحه اول

Dosimetric comparison of whole breast radiotherapy using field in field and conformal radiotherapy techniques in early stage breast cancer

Background: We aimed to compare field-in-field technique (FIF) with conformal tangential field radiotherapy (CRT) in terms of dosimetric benefits for early stage breast cancer radiotherapy. Materials and Methods: Twenty consecutive left-side breast cancer patients who underwent breast-conserving surgery were included to the study. For each patient, two different treatment plans were cr...

متن کامل

Standardization of whole breast radiotherapy is required for safe omission of axillary lymph node dissection in breast cancer patients

Background: The purpose of this study was to assess the dose distribution and coverage of level Ⅰ-Ⅱ axillary lymph nodes during whole breast tangential field radiotherapy (RT) after breast-conserving surgery in patients with breast cancer. Materials and Methods: The level Ⅰ-Ⅱ axillary lymph node volumes were retrospectively contoured by a single radiation oncologist based on computed tomography...

متن کامل

The Effect of Breast Reconstruction Prosthesis on Photon Dose Distribution in Breast Cancer Radiotherapy

Introduction: Siliconeprosthetic implants are commonlyutilizedfor tissue replacement and breast augmentation after mastectomy. On the other hand, some patients require adjuvant radiotherapy in order to preventlocal-regional recurrence and increment ofthe overall survival. In case of recurrence, the radiation oncologist might have to irradiate the prosthesis.The aim of this study was to evaluate...

متن کامل

Comparison of “heart and lung volume absorbed dose” between electron and photon boost radiotherapy after breast conserving surgery

Background: Breast conserving surgery (BCS) followed by radiotherapy (RT) has been widely accepted as the standard treatment in early stages of invasive breast cancer. The standard technique of RT includes whole breast irradiation (WBI). Additional tumor bed boost irradiation has also an important role in the local tumor control. But there are various controversial delivery methods. The aim of ...

متن کامل

A comparison of contralateral breast dose due to breast cancer radiotherapy using two different treatment machines in a radiotherapy center

Background: The radiation dose received by contralateral breast (CLB) is one of the concerns of breast radiotherapy, because it may lead to the induction of secondary breast cancer. The aim of this study was to evaluate the CLB surface dose in the breast treatment in Yazd radiotherapy center. Materials and Methods: The surface dose of CLB was measured using TLD dosimetry in 50 cancer breast pat...

متن کامل

منابع من

با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید


عنوان ژورنال:
iranian journal of cancer prevention

جلد ۴، شماره ۱، صفحات ۱۵-۱۹

کلمات کلیدی
[ ' b r e a s t n e o p l a s m ' , ' b r e a s t c o n s e r v i n g s u r g e r y ' , ' a d j u v a n t r a d i o t h e r a p y ' , ' c o s m e t i c e f f e c t p l e a s e c i t e t h i s a r t i c l e a s ' , ' b a b a z a d e s h ' , ' e m a m i h ' , ' a m o u h e i d a r i a r ' , ' r o a y a e i m ' , ' h a s s a n z a d e a ' , ' a k b a r i a . a c o m p a r i s o n i n c o s m e t i c r e s u l t s o f c o b a l t 6 0 a n d p h o t o n 9 m e g a v o l t f o r w h o l e b r e a s t r a d i o t h e r a p y i n b r e a s t c a n c e r p a t i e n t s w i t h b r e a s t x a 0 c o n s e r v i n g s u r g e r y . i r a n j c a n c e r p r e v . 2 0 1 1 ' , ' v o l 4 ' , ' n o 1 ' , ' p 1 5 ' , ' 1 9 . r e f e r e n c e s 1 . a k b a r i m e . i r a n c a n c e r r e p o r t . c a n c e r r e s e a r c h c e n t e r ' , ' s h a h i d b e h e s h t i u n i v e r s i t y o f m e d i c a l s c i e n c e s ' , ' t e h r a n ' , ' d a r o l f e k r ' , ' 2 0 0 8 . 2 . b u d r u k k a r a n ' , ' s a r i n r ' , ' s h r i v a s t a v a s k ' , ' d e s h p a n d e d d ' , ' d i n s h a w k a . c o s m e s i s ' , ' l a t e s e q u e l a e a n d l o c a l c o n t r o l a f t e r b r e a s t ' , ' c o n s e r v i n g t h e r a p y ' , ' i n f l u e n c e o f t y p e o f t u m o u r b e d b o o s t a n d a d j u v a n t c h e m o t h e r a p y . c l i n o n c o l ( r c o l l r a d i o l ) 2 0 0 7 ' , ' 1 9 ( 8 ) ' , 5 9 6 , ' 6 0 3 . 3 . w a n g h t ' , ' b a r o n e c m ' , ' s t e i g e l m a n m b ' , ' k a h l e n b e r g m ' , ' r o u s s e a u d ' , ' b e r g e r j ' , ' e t a l . a e s t h e t i c o u t c o m e s i n b r e a s t c o n s e r v a t i o n t h e r a p y . a e s t h e t s u r g j 2 0 0 8 ' , ' 2 8 ( 2 ) ' , 1 6 5 , ' 7 0 . 4 . a k b a r i m e ' , ' k h a y a m z a d e h m ' , ' k h o s h n e v i s s j ' , ' n a f i s s i n ' , ' a k b a r i a . f i v e a n d t e n y e a r s s u r v i v a l i n b r e a s t c a n c e r p a t i e n t s m a s t e c t o m i e s v s b r e a s t c o n s e r v i n g s u r g e r i e s p e r s o n a l e x p e r i e n c e . i r a n j c a n c e r p r e v . 2 0 0 8 ' , ' 1 ( 2 ) ' , 5 3 , ' 6 . 5 . x a 0 p o o r t m a n s p . e v i d e n c e b a s e d r a d i a t i o n o n c o l o g y ' , ' b r e a s t c a n c e r . r a d i o t h e r o n c o l 2 0 0 7 ' , ' 8 4 ( 1 ) ' , 8 4 , ' 1 0 1 . 6 . f i s h e r b ' , ' a n d e r s o n s ' , ' b r y a n t j ' , ' m a r g o l e s e r g ' , ' d e u t s c h m ' , ' f i s h e r e r ' , ' e t a l . t w e n t y ' , ' y e a r f o l l o w ' , ' u p o f a r a n d o m i z e d t r i a l c o m p a r i n g t o t a l m a s t e c t o m y ' , ' l u m p e c t o m y ' , ' a n d l u m p e c t o m y p l u s i r r a d i a t i o n f o r t h e t r e a t m e n t o f i n v a s i v e b r e a s t c a n c e r . n e n g l j m e d 2 0 0 2 ' , ' 3 4 7 ( 1 6 ) ' , 1 2 3 3 , ' 4 1 . 7 . c l a r k e m ' , ' c o l l i n s r ' , ' d a r b y s ' , ' d a v i e s c ' , ' e l p h i n s t o n e p ' , ' e v a n s e ' , ' e t a l . e f f e c t s o f r a d i o t h e r a p y a n d o f d i f f e r e n c e s i n t h e e x t e n t o f s u r g e r y f o r e a r l y b r e a s t c a n c e r o n l o c a l r e c u r r e n c e a n d 1 5 ' , ' y e a r s u r v i v a l ' , ' a n o v e r v i e w o f t h e r a n d o m i s e d t r i a l s . l a n c e t 2 0 0 5 ' , ' 3 6 6 ( 9 5 0 3 ) ' , 2 0 8 7 , ' 2 1 0 6 . 8 . s n e e u w k c ' , ' a a r o n s o n n k ' , ' y a r n o l d j r ' , ' b r o d e r i c k m ' , ' r e g a n j ' , ' r o s s g ' , ' e t a l . c o s m e t i c a n d f u n c t i o n a l o u t c o m e s o f b r e a s t c o n s e r v i n g t r e a t m e n t f o r e a r l y s t a g e b r e a s t c a n c e r . 2 . r e l a t i o n s h i p w i t h p s y c h o s o c i a l f u n c t i o n i n g . r a d i o t h e r o n c o l 1 9 9 2 ' , ' 2 5 ( 3 ) ' , 1 6 0 , ' 6 . 9 . a l g h a z a l s k ' , ' f a l l o w f i e l d l ' , ' b l a m e y r w . d o e s c o s m e t i c o u t c o m e f r o m t r e a t m e n t o f p r i m a r y b r e a s t c a n c e r i n f l u e n c e p s y c h o s o c i a l m o r b i d i t y ? e u r j s u r g o n c o l 1 9 9 9 ' , ' 2 5 ( 6 ) ' , 5 7 1 , ' 3 . 1 0 . a l g h a z a l s k ' , ' f a l l o w f i e l d l ' , ' b l a m e y r w . c o m p a r i s o n o f p s y c h o l o g i c a l a s p e c t s a n d p a t i e n t s a t i s f a c t i o n f o l l o w i n g b r e a s t c o n s e r v i n g s u r g e r y ' , ' s i m p l e m a s t e c t o m y a n d b r e a s t r e c o n s t r u c t i o n . e u r j c a n c e r 2 0 0 0 ' , ' 3 6 ( 1 5 ) ' , 1 9 3 8 , ' 4 3 . 1 1 . r o s e m a ' , ' o l i v o t t o i ' , ' c a d y b ' , ' k o u f m a n c ' , ' o s t e e n r ' , ' s i l v e r b ' , ' e t a l . c o n s e r v a t i v e s u r g e r y a n d r a d i a t i o n t h e r a p y f o r e a r l y b r e a s t c a n c e r . l o n g ' , ' t e r m c o s m e t i c r e s u l t s . a r c h s u r g 1 9 8 9 ' , ' 1 2 4 ( 2 ) ' , 1 5 3 , ' 7 . 1 2 . c a r d o s o m j ' , ' c a r d o s o j ' , ' s a n t o s a c ' , ' v r i e l i n g c ' , ' c h r i s t i e d ' , ' l i l j e g r e n g ' , ' e t a l . f a c t o r s d e t e r m i n i n g e s t h e t i c o u t c o m e a f t e r b r e a s t c a n c e r c o n s e r v a t i v e t r e a t m e n t . b r e a s t j 2 0 0 7 ' , ' 1 3 ( 2 ) ' , 1 4 0 , ' 6 . 1 3 . c e t i n t a s s k ' , ' o z k a n l ' , ' k u r t m ' , ' s a r a n a ' , ' t a s d e l e n i ' , ' t o l u n a y s ' , ' e t a l . f a c t o r s i n f l u e n c i n g c o s m e t i c r e s u l t s a f t e r b r e a s t c o n s e r v i n g m a n a g e m e n t ( t u r k i s h e x p e r i e n c e ) . b r e a s t 2 0 0 2 ' , ' 1 1 ( 1 ) ' , 7 2 , ' 8 0 . 1 4 . r o c h e f o r d i e r e a ' , ' a b n e r a l ' , ' s i l v e r b ' , ' v i c i n i f ' , ' r e c h t a ' , ' h a r r i s j r . a r e c o s m e t i c r e s u l t s f o l l o w i n g c o n s e r v a t i v e s u r g e r y a n d r a d i a t i o n t h e r a p y f o r e a r l y b r e a s t c a n c e r d e p e n d e n t o n t e c h n i q u e ? i n t j r a d i a t o n c o l b i o l p h y s 1 9 9 2 ' , ' 2 3 ( 5 ) ' , 9 2 5 , ' 3 1 . 1 5 . d e u t s c h m ' , ' f l i c k i n g e r j c . p a t i e n t c h a r a c t e r i s t i c s a n d t r e a t m e n t f a c t o r s a f f e c t i n g c o s m e s i s f o l l o w i n g l u m p e c t o m y a n d b r e a s t i r r a d i a t i o n . a m j c l i n o n c o l 2 0 0 3 ' , ' 2 6 ( 4 ) ' , 3 5 0 , ' 3 . 1 6 . m a e s s e n d ' , ' f l e n t j e m ' , ' w e i s c h e d e l u . [ c o s m e t i c r e s u l t s o f b r e a s t c o n s e r v i n g t h e r a p y f o r b r e a s t c a r c i n o m a . t r e a t m e n t r e s u l t s f r o m t h e h e i d e l b e r g r a d i a t i o n c l i n i c i n t h e y e a r s 1 9 8 4 t o 1 9 9 2 ] . s t r a h l e n t h e r o n k o l 1 9 9 8 ' , ' 1 7 4 ( 5 ) ' , 2 5 1 , ' 6 . 1 7 . o l i v o t t o i a ' , ' r o s e m a ' , ' o s t e e n r t ' , ' l o v e s ' , ' c a d y b ' , ' s i l v e r b ' , ' e t a l . l a t e c o s m e t i c o u t c o m e a f t e r c o n s e r v a t i v e s u r g e r y a n d r a d i o t h e r a p y ' , ' a n a l y s i s o f c a u s e s o f c o s m e t i c f a i l u r e . i n t j r a d i a t o n c o l b i o l p h y s 1 9 8 9 ' , ' 1 7 ( 4 ) ' , 7 4 7 , ' 5 3 . 1 8 . p a l a z z i m ' , ' t o m a t i s s ' , ' v a l l i m c ' , ' g u z z e t t i r ' , ' t o n o l i s ' , ' b e r t o n i f ' , ' e t a l . i m p a c t o f r a d i o t h e r a p y t e c h n i q u e o n t h e o u t c o m e o f e a r l y b r e a s t c a n c e r t r e a t e d w i t h c o n s e r v a t i v e s u r g e r y ' , ' a m u l t i c e n t e r o b s e r v a t i o n a l s t u d y o n 1 ' , ' 1 7 6 p a t i e n t s . i n t j r a d i a t o n c o l b i o l p h y s 2 0 0 6 ' , ' 6 5 ( 5 ) ' , 1 3 6 1 , ' 7 . 1 9 . s a r i n r ' , ' d i n s h a w k a ' , ' s h r i v a s t a v a s k ' , ' s h a r m a v ' , ' d e o r e s m . t h e r a p e u t i c f a c t o r s i n f l u e n c i n g t h e c o s m e t i c o u t c o m e a n d l a t e c o m p l i c a t i o n s i n t h e c o n s e r v a t i v e m a n a g e m e n t o f e a r l y b r e a s t c a n c e r . i n t j r a d i a t o n c o l b i o l p h y s 1 9 9 3 ' , ' 2 7 ( 2 ) ' , 2 8 5 , ' 9 2 . 2 0 . v r i e l i n g c ' , ' c o l l e t t e l ' , ' f o u r q u e t a ' , ' h o o g e n r a a d w j ' , ' h o r i o t j h ' , ' j a g e r j j ' , ' e t a l . t h e i n f l u e n c e o f p a t i e n t ' , ' t u m o r a n d t r e a t m e n t f a c t o r s o n t h e c o s m e t i c r e s u l t s a f t e r b r e a s t ' , ' c o n s e r v i n g t h e r a p y i n t h e e o r t c & ' , ' # 0 3 9 ' , ' b o o s t v s . n o b o o s t & ' , ' # 0 3 9 ' , ' t r i a l . e o r t c r a d i o t h e r a p y a n d b r e a s t c a n c e r c o o p e r a t i v e g r o u p s . r a d i o t h e r o n c o l 2 0 0 0 ' , ' 5 5 ( 3 ) ' , 2 1 9 , ' 3 2 . 2 1 . w a z e r d e ' , ' d i p e t r i l l o t ' , ' s c h m i d t ' , ' u l l r i c h r ' , ' w e l d l ' , ' s m i t h t j ' , ' m a r c h a n t d j ' , ' e t a l . f a c t o r s i n f l u e n c i n g c o s m e t i c o u t c o m e a n d c o m p l i c a t i o n r i s k a f t e r c o n s e r v a t i v e s u r g e r y a n d r a d i o t h e r a p y f o r e a r l y ' , ' s t a g e b r e a s t c a r c i n o m a . j c l i n o n c o l 1 9 9 2 ' , ' 1 0 ( 3 ) ' , 3 5 6 , ' 6 3 . 2 2 . c o l l e t t e s ' , ' c o l l e t t e l ' , ' b u d i h a r t o t ' , ' h o r i o t j c ' , ' p o o r t m a n s p m ' , ' s t r u i k m a n s h ' , ' e t a l . p r e d i c t o r s o f t h e r i s k o f f i b r o s i s a t 1 0 y e a r s a f t e r b r e a s t c o n s e r v i n g t h e r a p y f o r e a r l y b r e a s t c a n c e r ' , ' a s t u d y b a s e d o n t h e e o r t c t r i a l 2 2 8 8 1 ' , ' 1 0 8 8 2 & ' , ' # 0 3 9 ' , ' b o o s t v e r s u s n o b o o s t & ' , ' # 0 3 9 ' , ' . e u r j c a n c e r 2 0 0 8 ' , ' 4 4 ( 1 7 ) ' , 2 5 8 7 , ' 9 9 . 2 3 . b e s e n s ' , ' m u n s h i a ' , ' b u d r u k k a r a ' , ' e l z a w a w y a ' , ' p e r e z c a . b r e a s t r a d i a t i o n t h e r a p y g u i d e l i n e i m p l e m e n t a t i o n i n l o w ' , ' a n d m i d d l e ' , ' i n c o m e c o u n t r i e s . c a n c e r 2 0 0 8 ' , ' 1 1 3 ( 8 s u p p l ) ' , 2 3 0 5 , ' 1 4 . 2 4 . a r e n a s m ' , ' s a b a t e r s ' , ' h e r n a n d e z v ' , ' h e n r i q u e z i ' , ' a m e i j i d e a ' , ' a n g l a d a l ' , ' e t a l . c o s m e t i c o u t c o m e o f b r e a s t c o n s e r v a t i v e t r e a t m e n t f o r e a r l y s t a g e b r e a s t c a n c e r . c l i n t r a n s l o n c o l 2 0 0 6 ' , ' 8 ( 5 ) ' , 3 3 4 , ' 8 . 2 5 . a l g h a z a l s k ' , ' b l a m e y r w ' , ' s t e w a r t j ' , ' m o r g a n a a . t h e c o s m e t i c o u t c o m e i n e a r l y b r e a s t c a n c e r t r e a t e d w i t h b r e a s t c o n s e r v a t i o n . e u r j s u r g o n c o l 1 9 9 9 ' , ' 2 5 ( 6 ) ' , 5 6 6 , ' 7 0 . 2 6 . b a y e r l a ' , ' f r a n k d ' , ' l e n z a ' , ' h o s s c ' , ' l u k a s p ' , ' f e l d m a n n h j ' , ' e t a l . l o c a l t u m o r c o n t r o l a n d c o s m e t i c o u t c o m e f o l l o w i n g b r e a s t ' , ' c o n s e r v i n g s u r g e r y a n d r a d i a t i o n u p t o a t o t a l d o s e o f 5 6 g y w i t h o u t b o o s t i n b r e a s t c a n c e r . s t r a h l e n t h e r o n k o l 2 0 0 1 ' , ' 1 7 7 ( 1 ) ' , 2 5 , ' 3 2 . 2 7 . h a l y a r d m y ' , ' g r a d o g l ' , ' s c h o m b e r g p j ' , ' w e a v e r a l ' , ' g r a n t c s ' , ' p i s a n s k y t m . c o n s e r v a t i v e t h e r a p y o f b r e a s t c a n c e r . t h e m a y o c l i n i c e x p e r i e n c e . a m j c l i n o n c o l 1 9 9 6 ' , ' 1 9 ( 5 ) ' , 4 4 5 , ' 5 0 . 2 8 . h o e l l e r u ' , ' k u h l m e y a ' , ' b a j r o v i c a ' , ' g r a d e r k ' , ' b e r g e r j ' , ' t r i b i u s s ' , ' e t a l . c o s m e s i s f r o m t h e p a t i e n t & ' , ' # 0 3 9 ' , ' s a n d t h e d o c t o r & ' , ' # 0 3 9 ' , ' s v i e w . i n t j r a d i a t o n c o l b i o l p h y s 2 0 0 3 ' , ' 5 7 ( 2 ) ' , 3 4 5 , ' 5 4 . 2 9 . a l g h a z a l s k ' , ' f a l l o w f i e l d l ' , ' b l a m e y r w . p a t i e n t e v a l u a t i o n o f c o s m e t i c o u t c o m e a f t e r c o n s e r v i n g s u r g e r y f o r t r e a t m e n t o f p r i m a r y b r e a s t c a n c e r . e u r j s u r g o n c o l 1 9 9 9 ' , ' 2 5 ( 4 ) ' , 3 4 4 , ' 6 . 3 0 . c a r d o s o m j ' , ' s a n t o s a c ' , ' c a r d o s o j ' , ' b a r r o s h ' , ' c a r d o s o d o . c h o o s i n g o b s e r v e r s f o r e v a l u a t i o n o f a e s t h e t i c r e s u l t s i n b r e a s t c a n c e r c o n s e r v a t i v e t r e a t m e n t . i n t j r a d i a t o n c o l b i o l p h y s 2 0 0 5 ' , ' 6 1 ( 3 ) ' , 8 7 9 , ' 8 1 . ' ]

میزبانی شده توسط پلتفرم ابری doprax.com

copyright © 2015-2023