Long Term Arm and Shoulder Toxicities in Breast Cancer Patients Receiving Hypofractionated Radiation Therapy
Aim: The purpose of this study is to evaluate the late toxicities in hypo fractionated radiation schedule in breast cancer patients with regional nodal irradiation (RNI), limited to axilla and supraclavicular regions. Late effects on arm and shoulder were noted as follows: skin edema (lymphedema), r...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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West Asia Organization for Cancer Prevention
2021-08-01
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| Series: | Asian Pacific Journal of Cancer Care |
| Subjects: | |
| Online Access: | http://www.waocp.com/journal/index.php/apjcc/article/view/645 |
| _version_ | 1797342725857607680 |
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| author | Prateek Daga Harvinder Singh Kumar Neeti Sharma Shankar Lal Jakhar Kamlesh Kumar Harsh |
| author_facet | Prateek Daga Harvinder Singh Kumar Neeti Sharma Shankar Lal Jakhar Kamlesh Kumar Harsh |
| author_sort | Prateek Daga |
| collection | DOAJ |
| description | Aim: The purpose of this study is to evaluate the late toxicities in hypo fractionated radiation schedule in breast cancer patients with regional nodal irradiation (RNI), limited to axilla and supraclavicular regions. Late effects on arm and shoulder were noted as follows: skin edema (lymphedema), restricted shoulder movements (brachial plexus injury) and localised pain.
Material and Methods: In this study we randomly enrolled 100 breast cancer post mastectomy cases in the year 2018. All cases were previously asymptomatic after surgery. They were prospectively treated with hypo fractionated local and regional nodal irradiation by 2.67 gray / fraction dose, total 15 fractions (total dose-40 gray). Evaluation was done at 12 months after completion of radiation therapy. Assessment was done by RTOG, LENT- SOMA scales.
Results: Significant lymphedema was observed in 17 (17%) cases. Restricted arm mobility was seen in 14 (14%) of patients. Pain (moderate/severe) in arm and shoulder was most commonly seen, in 25 (25%) cases.
Conclusions: As hypo fractionated regimes in breast cancer treatment have become new standard; its late term effects are significant and comparable to other conventional radiation therapy regimes. These studies need further and longer duration of evaluation. |
| first_indexed | 2024-03-08T10:37:27Z |
| format | Article |
| id | doaj.art-6779e51ce4274eb5a3f7882dcdd488bd |
| institution | Directory Open Access Journal |
| issn | 2588-3682 |
| language | English |
| last_indexed | 2024-03-08T10:37:27Z |
| publishDate | 2021-08-01 |
| publisher | West Asia Organization for Cancer Prevention |
| record_format | Article |
| series | Asian Pacific Journal of Cancer Care |
| spelling | doaj.art-6779e51ce4274eb5a3f7882dcdd488bd2024-01-26T18:11:24ZengWest Asia Organization for Cancer PreventionAsian Pacific Journal of Cancer Care2588-36822021-08-016331131510.31557/apjcc.2021.6.3.311-315645Long Term Arm and Shoulder Toxicities in Breast Cancer Patients Receiving Hypofractionated Radiation TherapyPrateek Daga0Harvinder Singh KumarNeeti SharmaShankar Lal JakharKamlesh Kumar HarshATRCTRIAim: The purpose of this study is to evaluate the late toxicities in hypo fractionated radiation schedule in breast cancer patients with regional nodal irradiation (RNI), limited to axilla and supraclavicular regions. Late effects on arm and shoulder were noted as follows: skin edema (lymphedema), restricted shoulder movements (brachial plexus injury) and localised pain. Material and Methods: In this study we randomly enrolled 100 breast cancer post mastectomy cases in the year 2018. All cases were previously asymptomatic after surgery. They were prospectively treated with hypo fractionated local and regional nodal irradiation by 2.67 gray / fraction dose, total 15 fractions (total dose-40 gray). Evaluation was done at 12 months after completion of radiation therapy. Assessment was done by RTOG, LENT- SOMA scales. Results: Significant lymphedema was observed in 17 (17%) cases. Restricted arm mobility was seen in 14 (14%) of patients. Pain (moderate/severe) in arm and shoulder was most commonly seen, in 25 (25%) cases. Conclusions: As hypo fractionated regimes in breast cancer treatment have become new standard; its late term effects are significant and comparable to other conventional radiation therapy regimes. These studies need further and longer duration of evaluation.http://www.waocp.com/journal/index.php/apjcc/article/view/645breast cancer, radiation therapy, hypo fractionation, toxicities |
| spellingShingle | Prateek Daga Harvinder Singh Kumar Neeti Sharma Shankar Lal Jakhar Kamlesh Kumar Harsh Long Term Arm and Shoulder Toxicities in Breast Cancer Patients Receiving Hypofractionated Radiation Therapy Asian Pacific Journal of Cancer Care breast cancer, radiation therapy, hypo fractionation, toxicities |
| title | Long Term Arm and Shoulder Toxicities in Breast Cancer Patients Receiving Hypofractionated Radiation Therapy |
| title_full | Long Term Arm and Shoulder Toxicities in Breast Cancer Patients Receiving Hypofractionated Radiation Therapy |
| title_fullStr | Long Term Arm and Shoulder Toxicities in Breast Cancer Patients Receiving Hypofractionated Radiation Therapy |
| title_full_unstemmed | Long Term Arm and Shoulder Toxicities in Breast Cancer Patients Receiving Hypofractionated Radiation Therapy |
| title_short | Long Term Arm and Shoulder Toxicities in Breast Cancer Patients Receiving Hypofractionated Radiation Therapy |
| title_sort | long term arm and shoulder toxicities in breast cancer patients receiving hypofractionated radiation therapy |
| topic | breast cancer, radiation therapy, hypo fractionation, toxicities |
| url | http://www.waocp.com/journal/index.php/apjcc/article/view/645 |
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