A Hypofractionated Radiotherapy Schedule with a Simultaneous Integrated Boost for Breast Cancer: Outcomes including Late Toxicity and Health Quality

<i>Introduction</i>: This study aimed to evaluate the long-term adverse effects on the physical appearance and overall well-being of breast cancer patients who receive hypofractionated radiotherapy as whole breast and simultaneous integrated boost (SIB) treatment, utilizing intensive mod...

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Main Authors: Zuleyha Akgun, Aydin Cakir, Esra Sağlam, Sertac Demirel, Abdullah Igci, Serkan Keskin
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Medicina
Subjects:
Online Access:https://www.mdpi.com/1648-9144/59/4/675
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author Zuleyha Akgun
Aydin Cakir
Esra Sağlam
Sertac Demirel
Abdullah Igci
Serkan Keskin
author_facet Zuleyha Akgun
Aydin Cakir
Esra Sağlam
Sertac Demirel
Abdullah Igci
Serkan Keskin
author_sort Zuleyha Akgun
collection DOAJ
description <i>Introduction</i>: This study aimed to evaluate the long-term adverse effects on the physical appearance and overall well-being of breast cancer patients who receive hypofractionated radiotherapy as whole breast and simultaneous integrated boost (SIB) treatment, utilizing intensive modulated radiotherapy (IMRT), volumetric modulated arc therapy (VMAT), or a hybrid therapy approach. <i>Material/Methods</i>: This investigation involved administering hypofractionated SIB-VMAT therapy to individuals diagnosed with early-stage breast cancer. Treatment was carried out over a three-week period in which a total dose of 48.06 Gy was given to the entire breast and 54 Gy was given to the tumor bed. Data on skin toxicity and cosmetic outcomes were analyzed both during the acute phase and during the three-month and five-year follow-up periods after treatment. <i>Results</i>: A total of 125 patients treated between December 2014 and December 2016 were included in the study. The data of these patients with at least 5 years of follow-up were analyzed. <i>Conclusions</i>: Considering these long-term results, hypofractionated SIB-VMAT can be considered a viable treatment choice, even for patients with unfavorable conditions.
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spelling doaj.art-4f6ffaa9803c44228fdea5e2adcbb8542023-11-17T20:20:21ZengMDPI AGMedicina1010-660X1648-91442023-03-0159467510.3390/medicina59040675A Hypofractionated Radiotherapy Schedule with a Simultaneous Integrated Boost for Breast Cancer: Outcomes including Late Toxicity and Health QualityZuleyha Akgun0Aydin Cakir1Esra Sağlam2Sertac Demirel3Abdullah Igci4Serkan Keskin5Department of Radiation Oncology, Memorial Sisli Hospital, Kaptan Paşa, Kaptan Paşa Mahallesi, Piyale Paşa Bulvari, Istanbul 34384, TurkeyDepartment of Radiation Oncology, Memorial Sisli Hospital, Kaptan Paşa, Kaptan Paşa Mahallesi, Piyale Paşa Bulvari, Istanbul 34384, TurkeyDepartment of Radiation Oncology, Memorial Sisli Hospital, Kaptan Paşa, Kaptan Paşa Mahallesi, Piyale Paşa Bulvari, Istanbul 34384, TurkeyDepartment of General Surgery, Memorial Sisli Hospital, Kaptan Paşa, Kaptan Paşa Mahallesi, Piyale Paşa Bulvari, Istanbul 34384, TurkeySchool of Medicine, Department of General Surgery, Istanbul University, Istanbul 34452, TurkeyDepartment of Medical Oncology, Memorial Sisli Hospital, Kaptan Paşa, Kaptan Paşa Mahallesi, Piyale Paşa Bulvari, Istanbul 34384, Turkey<i>Introduction</i>: This study aimed to evaluate the long-term adverse effects on the physical appearance and overall well-being of breast cancer patients who receive hypofractionated radiotherapy as whole breast and simultaneous integrated boost (SIB) treatment, utilizing intensive modulated radiotherapy (IMRT), volumetric modulated arc therapy (VMAT), or a hybrid therapy approach. <i>Material/Methods</i>: This investigation involved administering hypofractionated SIB-VMAT therapy to individuals diagnosed with early-stage breast cancer. Treatment was carried out over a three-week period in which a total dose of 48.06 Gy was given to the entire breast and 54 Gy was given to the tumor bed. Data on skin toxicity and cosmetic outcomes were analyzed both during the acute phase and during the three-month and five-year follow-up periods after treatment. <i>Results</i>: A total of 125 patients treated between December 2014 and December 2016 were included in the study. The data of these patients with at least 5 years of follow-up were analyzed. <i>Conclusions</i>: Considering these long-term results, hypofractionated SIB-VMAT can be considered a viable treatment choice, even for patients with unfavorable conditions.https://www.mdpi.com/1648-9144/59/4/675breast cancerSIBhypofractionationhybrid radiotherapylate toxicity
spellingShingle Zuleyha Akgun
Aydin Cakir
Esra Sağlam
Sertac Demirel
Abdullah Igci
Serkan Keskin
A Hypofractionated Radiotherapy Schedule with a Simultaneous Integrated Boost for Breast Cancer: Outcomes including Late Toxicity and Health Quality
Medicina
breast cancer
SIB
hypofractionation
hybrid radiotherapy
late toxicity
title A Hypofractionated Radiotherapy Schedule with a Simultaneous Integrated Boost for Breast Cancer: Outcomes including Late Toxicity and Health Quality
title_full A Hypofractionated Radiotherapy Schedule with a Simultaneous Integrated Boost for Breast Cancer: Outcomes including Late Toxicity and Health Quality
title_fullStr A Hypofractionated Radiotherapy Schedule with a Simultaneous Integrated Boost for Breast Cancer: Outcomes including Late Toxicity and Health Quality
title_full_unstemmed A Hypofractionated Radiotherapy Schedule with a Simultaneous Integrated Boost for Breast Cancer: Outcomes including Late Toxicity and Health Quality
title_short A Hypofractionated Radiotherapy Schedule with a Simultaneous Integrated Boost for Breast Cancer: Outcomes including Late Toxicity and Health Quality
title_sort hypofractionated radiotherapy schedule with a simultaneous integrated boost for breast cancer outcomes including late toxicity and health quality
topic breast cancer
SIB
hypofractionation
hybrid radiotherapy
late toxicity
url https://www.mdpi.com/1648-9144/59/4/675
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