Coverage of Axillary Lymph Nodes with Tangential Breast Irradiation in Korea: A Multi-Institutional Comparison Study
Identifieur interne : 001232 ( Main/Exploration ); précédent : 001231; suivant : 001233Coverage of Axillary Lymph Nodes with Tangential Breast Irradiation in Korea: A Multi-Institutional Comparison Study
Auteurs : Jinhong Jung [Corée du Sud] ; Moonkyoo Kong [Corée du Sud] ; Su Ssan Kim [Corée du Sud] ; Won Sup Yoon [Corée du Sud]Source :
- International Journal of Breast Cancer [ 2090-3170 ] ; 2016.
Abstract
Url:
DOI: 10.1155/2016/8576357
PubMed: 27525123
PubMed Central: 4972917
Affiliations:
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<author><name sortKey="Jung, Jinhong" sort="Jung, Jinhong" uniqKey="Jung J" first="Jinhong" last="Jung">Jinhong Jung</name>
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<author><name sortKey="Kong, Moonkyoo" sort="Kong, Moonkyoo" uniqKey="Kong M" first="Moonkyoo" last="Kong">Moonkyoo Kong</name>
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<author><name sortKey="Kim, Su Ssan" sort="Kim, Su Ssan" uniqKey="Kim S" first="Su Ssan" last="Kim">Su Ssan Kim</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Coverage of Axillary Lymph Nodes with Tangential Breast Irradiation in Korea: A Multi-Institutional Comparison Study</title>
<author><name sortKey="Jung, Jinhong" sort="Jung, Jinhong" uniqKey="Jung J" first="Jinhong" last="Jung">Jinhong Jung</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, Seoul 02447, Republic of Korea</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Radiation Oncology, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, Seoul 02447</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
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<author><name sortKey="Kong, Moonkyoo" sort="Kong, Moonkyoo" uniqKey="Kong M" first="Moonkyoo" last="Kong">Moonkyoo Kong</name>
<affiliation wicri:level="1"><nlm:aff id="I1">Department of Radiation Oncology, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, Seoul 02447, Republic of Korea</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Radiation Oncology, Kyung Hee University Medical Center, Kyung Hee University School of Medicine, Seoul 02447</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
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<author><name sortKey="Kim, Su Ssan" sort="Kim, Su Ssan" uniqKey="Kim S" first="Su Ssan" last="Kim">Su Ssan Kim</name>
<affiliation wicri:level="1"><nlm:aff id="I2">Department of Radiation Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505, Republic of Korea</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Radiation Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul 05505</wicri:regionArea>
<placeName><settlement type="city">Séoul</settlement>
<region type="capital">Région capitale de Séoul</region>
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<author><name sortKey="Yoon, Won Sup" sort="Yoon, Won Sup" uniqKey="Yoon W" first="Won Sup" last="Yoon">Won Sup Yoon</name>
<affiliation wicri:level="1"><nlm:aff id="I3">Department of Radiation Oncology, Ansan Hospital, Korea University Medical Center, Ansan 15355, Republic of Korea</nlm:aff>
<country xml:lang="fr">Corée du Sud</country>
<wicri:regionArea>Department of Radiation Oncology, Ansan Hospital, Korea University Medical Center, Ansan 15355</wicri:regionArea>
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<series><title level="j">International Journal of Breast Cancer</title>
<idno type="ISSN">2090-3170</idno>
<idno type="eISSN">2090-3189</idno>
<imprint><date when="2016">2016</date>
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<front><div type="abstract" xml:lang="en"><p><italic>Introduction</italic>
. To evaluate the dose distribution and coverage of axilla using only tangential field for whole breast radiotherapy (RT) at three institutions in Korea.<italic> Methods</italic>
. We used computed tomography (CT) images of nine consecutive 1-2 sentinel lymph node-positive patients who underwent breast conserving surgery and whole breast RT without axillary lymph node (ALN) dissection for clinical T1-2N0 breast cancer. The CT data were transferred to three radiation oncologists in 3 institutions and each radiation oncologist created treatment plans for all nine patients; a total of 27 treatment plans were analyzed.<italic> Results</italic>
. The mean doses delivered to levels I and II were 31.9 Gy (9.9–47.9 Gy) and 22.3 Gy (3.4–47.7 Gy). Ninety-five percent of levels I and II received a mean dose of 11.8 Gy (0.4–43.0 Gy) and 3.0 Gy (0.3–40.0 Gy). The percent volumes of levels I and II covered by 95% of the prescribed dose were only 29.0% (0.2–74.1%) and 11.5% (0.0–70.1%). The dose distribution and coverage of axilla were significantly different between three institutions (<italic>p</italic>
= 0.001).<italic> Conclusion</italic>
. There were discrepancies in ALN coverage between three institutions. A standardization of whole breast RT technique through further research with a nationwide scale is needed.</p>
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<affiliations><list><country><li>Corée du Sud</li>
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