Adjuvant hypofractionated radiation in carcinoma breast - Photon versus Electron: Comparison of treatment outcome.
Identifieur interne : 007886 ( PubMed/Checkpoint ); précédent : 007885; suivant : 007887Adjuvant hypofractionated radiation in carcinoma breast - Photon versus Electron: Comparison of treatment outcome.
Auteurs : G Prameela Chelakkot [Inde] ; Rahul Ravind [Inde] ; K. Sruthi [Inde] ; Namrata Chigurupati [Inde] ; Sanketh Kotne [Inde] ; Raghavendra Holla [Inde] ; Ram Madhavan [Inde] ; M. Dinesh [Inde]Source :
- Journal of cancer research and therapeutics [ 1998-4138 ]
Abstract
Breast cancer tissue is sensitive to hypofractionation. This is an analysis of patients treated with hypofractionated protocols since 2009, at our tertiary cancer center.
DOI: 10.4103/0973-1482.192851
PubMed: 28643745
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Sruthi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Chigurupati, Namrata" sort="Chigurupati, Namrata" uniqKey="Chigurupati N" first="Namrata" last="Chigurupati">Namrata Chigurupati</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Kotne, Sanketh" sort="Kotne, Sanketh" uniqKey="Kotne S" first="Sanketh" last="Kotne">Sanketh Kotne</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Holla, Raghavendra" sort="Holla, Raghavendra" uniqKey="Holla R" first="Raghavendra" last="Holla">Raghavendra Holla</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical Physics, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Medical Physics, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Madhavan, Ram" sort="Madhavan, Ram" uniqKey="Madhavan R" first="Ram" last="Madhavan">Ram Madhavan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Dinesh, M" sort="Dinesh, M" uniqKey="Dinesh M" first="M" last="Dinesh">M. Dinesh</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="????"><PubDate><MedlineDate>2017 Apr-Jun</MedlineDate></PubDate></date><idno type="RBID">pubmed:28643745</idno><idno type="pmid">28643745</idno><idno type="doi">10.4103/0973-1482.192851</idno><idno type="wicri:Area/PubMed/Corpus">000129</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000129</idno><idno type="wicri:Area/PubMed/Curation">000129</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000129</idno><idno type="wicri:Area/PubMed/Checkpoint">000129</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000129</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Adjuvant hypofractionated radiation in carcinoma breast - Photon versus Electron: Comparison of treatment outcome.</title><author><name sortKey="Chelakkot, G Prameela" sort="Chelakkot, G Prameela" uniqKey="Chelakkot G" first="G Prameela" last="Chelakkot">G Prameela Chelakkot</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Ravind, Rahul" sort="Ravind, Rahul" uniqKey="Ravind R" first="Rahul" last="Ravind">Rahul Ravind</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiation Oncology, HCG Institute of Oncology, Bengaluru, Karnataka, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Radiation Oncology, HCG Institute of Oncology, Bengaluru, Karnataka</wicri:regionArea><wicri:noRegion>Karnataka</wicri:noRegion></affiliation></author><author><name sortKey="Sruthi, K" sort="Sruthi, K" uniqKey="Sruthi K" first="K" last="Sruthi">K. Sruthi</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Chigurupati, Namrata" sort="Chigurupati, Namrata" uniqKey="Chigurupati N" first="Namrata" last="Chigurupati">Namrata Chigurupati</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Kotne, Sanketh" sort="Kotne, Sanketh" uniqKey="Kotne S" first="Sanketh" last="Kotne">Sanketh Kotne</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Holla, Raghavendra" sort="Holla, Raghavendra" uniqKey="Holla R" first="Raghavendra" last="Holla">Raghavendra Holla</name><affiliation wicri:level="1"><nlm:affiliation>Department of Medical Physics, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Medical Physics, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Madhavan, Ram" sort="Madhavan, Ram" uniqKey="Madhavan R" first="Ram" last="Madhavan">Ram Madhavan</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author><author><name sortKey="Dinesh, M" sort="Dinesh, M" uniqKey="Dinesh M" first="M" last="Dinesh">M. Dinesh</name><affiliation wicri:level="1"><nlm:affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</nlm:affiliation><country xml:lang="fr">Inde</country><wicri:regionArea>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala</wicri:regionArea><wicri:noRegion>Kerala</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of cancer research and therapeutics</title><idno type="eISSN">1998-4138</idno></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Breast cancer tissue is sensitive to hypofractionation. This is an analysis of patients treated with hypofractionated protocols since 2009, at our tertiary cancer center.</div></front></TEI><pubmed><MedlineCitation Status="In-Process" Owner="NLM"><PMID Version="1">28643745</PMID><DateCreated><Year>2017</Year><Month>06</Month><Day>23</Day></DateCreated><DateRevised><Year>2017</Year><Month>06</Month><Day>23</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1998-4138</ISSN><JournalIssue CitedMedium="Internet"><Volume>13</Volume><Issue>2</Issue><PubDate><MedlineDate>2017 Apr-Jun</MedlineDate></PubDate></JournalIssue><Title>Journal of cancer research and therapeutics</Title><ISOAbbreviation>J Cancer Res Ther</ISOAbbreviation></Journal><ArticleTitle>Adjuvant hypofractionated radiation in carcinoma breast - Photon versus Electron: Comparison of treatment outcome.</ArticleTitle><Pagination><MedlinePgn>262-267</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.4103/0973-1482.192851</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Breast cancer tissue is sensitive to hypofractionation. This is an analysis of patients treated with hypofractionated protocols since 2009, at our tertiary cancer center.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Details of breast cancer patients treated with adjuvant hypofractionated external beam radiation therapy (EBRT) from January 2009 to December 2014 were retrieved and analyzed.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">One thousand seven hundred and eighty patients received adjuvant EBRT during this period. Three hundred and eight were offered hypofractionated schedule. One hundred and eighty-eight had modified radical mastectomy (MRM) and 120 had breast conservation surgery (BCS). Dose was 40 Gy in 15 fractions to chest wall/breast, and tumor bed boost of 10 Gy in 5 fractions, where indicated, using three-dimensional conformal radiotherapy (3DCRT). Electrons were used in 159 and photons in 149. Single en face electron field was used for chest wall in MRM patients, and tangential photon beams for the whole breast. Patients on follow-up were assessed for locoregional recurrence, chest wall, breast or ipsilateral upper limb edema, brachial neuralgia, local skeletal events, pulmonary and cardiac symptoms, and cosmetic results. Two developed chest wall recurrence, one each in electron and photon arms. No skeletal, cardiac, or pulmonary adverse events were recorded. About 13.6% had arm edema, which was staged according to the International Society of Lymphology lymphedema staging, as Stage I-7.8%, Stage II-3.9%, and Stage III-1.9%. Twenty-six treated with electrons had arm edema. Increased incidence of arm edema in MRM patients could be attributed to combined surgical and radiation morbidity. Five-year overall survival was 81.9%.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Hypofractionation is an accepted cost-effective standard of care in adjuvant breast radiation. Single en face electron field is well tolerated, and 3DCRT planning ensures homogeneous chest wall coverage, respecting dose constraints to organs at risk.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chelakkot</LastName><ForeName>G Prameela</ForeName><Initials>GP</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Ravind</LastName><ForeName>Rahul</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, HCG Institute of Oncology, Bengaluru, Karnataka, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Sruthi</LastName><ForeName>K</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chigurupati</LastName><ForeName>Namrata</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Kotne</LastName><ForeName>Sanketh</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Holla</LastName><ForeName>Raghavendra</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Medical Physics, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Madhavan</LastName><ForeName>Ram</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dinesh</LastName><ForeName>M</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Radiation Oncology, Amrita School of Medicine, Amrita Institute of Medical Sciences, Amrita Vishwa Vidyapeetham, Amrita University, Kochi, Kerala, India.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>India</Country><MedlineTA>J Cancer Res Ther</MedlineTA><NlmUniqueID>101249598</NlmUniqueID><ISSNLinking>1998-4138</ISSNLinking></MedlineJournalInfo></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>6</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>6</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>6</Month><Day>24</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28643745</ArticleId><ArticleId IdType="pii">JCanResTher_2017_13_2_262_192851</ArticleId><ArticleId IdType="doi">10.4103/0973-1482.192851</ArticleId></ArticleIdList></PubmedData></pubmed><affiliations><list><country><li>Inde</li></country></list><tree><country name="Inde"><noRegion><name sortKey="Chelakkot, G Prameela" sort="Chelakkot, G Prameela" uniqKey="Chelakkot G" first="G Prameela" last="Chelakkot">G Prameela Chelakkot</name></noRegion><name sortKey="Chigurupati, Namrata" sort="Chigurupati, Namrata" uniqKey="Chigurupati N" first="Namrata" last="Chigurupati">Namrata Chigurupati</name><name sortKey="Dinesh, M" sort="Dinesh, M" uniqKey="Dinesh M" first="M" last="Dinesh">M. Dinesh</name><name sortKey="Holla, Raghavendra" sort="Holla, Raghavendra" uniqKey="Holla R" first="Raghavendra" last="Holla">Raghavendra Holla</name><name sortKey="Kotne, Sanketh" sort="Kotne, Sanketh" uniqKey="Kotne S" first="Sanketh" last="Kotne">Sanketh Kotne</name><name sortKey="Madhavan, Ram" sort="Madhavan, Ram" uniqKey="Madhavan R" first="Ram" last="Madhavan">Ram Madhavan</name><name sortKey="Ravind, Rahul" sort="Ravind, Rahul" uniqKey="Ravind R" first="Rahul" last="Ravind">Rahul Ravind</name><name sortKey="Sruthi, K" sort="Sruthi, K" uniqKey="Sruthi K" first="K" last="Sruthi">K. Sruthi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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