Postmastectomy radiotherapy: Toxicities and techniques to reduce them

被引:23
作者
Hardenbergh, PH [1 ]
Bentel, GC [1 ]
Prosnitz, LR [1 ]
Marks, LB [1 ]
机构
[1] Duke Univ, Med Ctr, Dept Radiat Oncol, Durham, NC 27710 USA
关键词
D O I
10.1016/S1053-4296(99)80018-6
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The role of locoregional radiation therapy after mastectomy is controversial. It reduces the risk of tumor relapse, improves breast cancer- specific survival and possibly overall survival, but has potential morbidity. This article reviews the technical aspects of postmastectomy radiation therapy and its associations with treatment-related morbidity. We consider common problems that arise in the technical setup of radiation fields. Adverse effects of postmastectomy radiation therapy may be reduced or prevented by careful radiation treatment planning.
引用
收藏
页码:259 / 268
页数:10
相关论文
共 43 条
[1]  
ABE O, 1995, NEW ENGL J MED, V333, P1444
[2]  
Bentel G C, 1990, Med Dosim, V15, P3
[3]  
BENTEL GC, 1998, INT J RADIAT ONCOL, V421, P127
[4]   ADRIAMYCIN CARDIOTOXICITY - ENDOMYOCARDIAL BIOPSY EVIDENCE OF ENHANCEMENT BY IRRADIATION [J].
BILLINGHAM, ME ;
BRISTOW, MR ;
GLATSTEIN, E ;
MASON, JW ;
MASEK, MA ;
DANIELS, JR .
AMERICAN JOURNAL OF SURGICAL PATHOLOGY, 1977, 1 (01) :17-23
[5]   CAN SIMULATION MEASUREMENTS BE USED TO PREDICT THE IRRADIATED LUNG-VOLUME IN THE TANGENTIAL FIELDS IN PATIENTS TREATED FOR BREAST-CANCER [J].
BORNSTEIN, BA ;
CHENG, CW ;
RHODES, LM ;
RASHID, H ;
STOMPER, PC ;
SIDDON, RL ;
HARRIS, JR .
INTERNATIONAL JOURNAL OF RADIATION ONCOLOGY BIOLOGY PHYSICS, 1990, 18 (01) :181-187
[6]   CAUSE-SPECIFIC MORTALITY IN LONG-TERM SURVIVORS OF BREAST-CANCER WHO PARTICIPATED IN TRIALS OF RADIOTHERAPY [J].
CUZICK, J ;
STEWART, H ;
RUTQVIST, L ;
HOUGHTON, J ;
EDWARDS, R ;
REDMOND, C ;
PETO, R ;
BAUM, M ;
FISHER, B ;
HOST, H ;
LYTHGOE, J ;
RIBEIRO, G ;
SCHEURLEN, H .
JOURNAL OF CLINICAL ONCOLOGY, 1994, 12 (03) :447-453
[7]  
*EARL BREAST CANC, 1990, TREATM EARL BREAST C, V1, P111
[8]   10-YEAR RESULTS OF A RANDOMIZED CLINICAL-TRIAL COMPARING RADICAL MASTECTOMY AND TOTAL MASTECTOMY WITH OR WITHOUT RADIATION [J].
FISHER, B ;
REDMOND, C ;
FISHER, ER ;
BAUER, M ;
WOLMARK, N ;
WICKERHAM, DL ;
DEUTSCH, M ;
MONTAGUE, E ;
MARGOLESE, R ;
FOSTER, R .
NEW ENGLAND JOURNAL OF MEDICINE, 1985, 312 (11) :674-681
[9]  
GRAVERSEN HP, 1988, EUR J SURG ONCOL, V14, P407
[10]   Evaluation of irradiated heart volumes in stage I breast cancer patients treated with postoperative adjuvant radiotherapy [J].
Gyenes, G ;
Gagliardi, G ;
Lax, I ;
Fornander, T ;
Rutqvist, LE .
JOURNAL OF CLINICAL ONCOLOGY, 1997, 15 (04) :1348-1353