Efficacy and Toxicity of Hypofractionated Palliative Radiotherapy for Breast Cancer Patients with Skin Invasion

Objectives: To determine the efficacy and toxicity of palliative radiotherapy for locally advanced breast cancer patients with skin invasion. Study Design: Quasi-experimental study. Place and Duration of Study: Radiotherapy Department Combined Military Hospital, Rawalpindi Pakistan, Jan 2019...

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Main Authors: Talha Maqsood, Adnan Zeb, Zeeshan Ahmed Alvi, Sameed Hussain, Muhammad Imran Wajid, Omer Riaz
Format: Article
Language:English
Published: Army Medical College Rawalpindi 2023-08-01
Series:Pakistan Armed Forces Medical Journal
Subjects:
Online Access:https://www.pafmj.org/index.php/PAFMJ/article/view/7443
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author Talha Maqsood
Adnan Zeb
Zeeshan Ahmed Alvi
Sameed Hussain
Muhammad Imran Wajid
Omer Riaz
author_facet Talha Maqsood
Adnan Zeb
Zeeshan Ahmed Alvi
Sameed Hussain
Muhammad Imran Wajid
Omer Riaz
author_sort Talha Maqsood
collection DOAJ
description Objectives: To determine the efficacy and toxicity of palliative radiotherapy for locally advanced breast cancer patients with skin invasion. Study Design: Quasi-experimental study. Place and Duration of Study: Radiotherapy Department Combined Military Hospital, Rawalpindi Pakistan, Jan 2019 to Jun 2020. Methodology: Patients who received palliative radiotherapy for the breast cancer and received radiation of 24 Gray in 3 fractions to the breast/ chest wall were included. Radiation toxicity was assessed using RTOG criteria as the primary outcome of the study. Radiotherapy efficacy in controlling bleeding/discharge and improving pain and odour scores were the secondary outcomes. Results: Twelve (80%) patients reported improvement in pain, 13/18(72.2) patients reported improvement in bleeding and 24/25 (96%) patients a decrease in pain level (p-value < 0.001). 11/25(44%) developed Grade-2 skin toxicity, and 8/25 (32%) developed Grade-3 skin toxicity. No patient experienced Grade-4 skin toxicity. Conclusion: Our study has shown that hypofractionated radiotherapy is effective and safe for palliation of patients with locally advanced breast cancer and skin invasion.
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spelling doaj.art-ed8468d9ca8f4b93a13ef73440f7d9da2023-09-08T05:59:58ZengArmy Medical College RawalpindiPakistan Armed Forces Medical Journal0030-96482411-88422023-08-0173410.51253/pafmj.v73i4.7443Efficacy and Toxicity of Hypofractionated Palliative Radiotherapy for Breast Cancer Patients with Skin InvasionTalha Maqsood0Adnan Zeb1Zeeshan Ahmed Alvi2Sameed Hussain3Muhammad Imran Wajid4Omer Riaz5Department of Oncology, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Oncology, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Oncology, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Oncology, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Oncology, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi PakistanDepartment of Oncology, Combined Military Hospital/National University of Medical Sciences (NUMS) Rawalpindi Pakistan Objectives: To determine the efficacy and toxicity of palliative radiotherapy for locally advanced breast cancer patients with skin invasion. Study Design: Quasi-experimental study. Place and Duration of Study: Radiotherapy Department Combined Military Hospital, Rawalpindi Pakistan, Jan 2019 to Jun 2020. Methodology: Patients who received palliative radiotherapy for the breast cancer and received radiation of 24 Gray in 3 fractions to the breast/ chest wall were included. Radiation toxicity was assessed using RTOG criteria as the primary outcome of the study. Radiotherapy efficacy in controlling bleeding/discharge and improving pain and odour scores were the secondary outcomes. Results: Twelve (80%) patients reported improvement in pain, 13/18(72.2) patients reported improvement in bleeding and 24/25 (96%) patients a decrease in pain level (p-value < 0.001). 11/25(44%) developed Grade-2 skin toxicity, and 8/25 (32%) developed Grade-3 skin toxicity. No patient experienced Grade-4 skin toxicity. Conclusion: Our study has shown that hypofractionated radiotherapy is effective and safe for palliation of patients with locally advanced breast cancer and skin invasion. https://www.pafmj.org/index.php/PAFMJ/article/view/7443Breast cancerHypofractionated hypofractionated palliative radiotherapyPalliative therapy
spellingShingle Talha Maqsood
Adnan Zeb
Zeeshan Ahmed Alvi
Sameed Hussain
Muhammad Imran Wajid
Omer Riaz
Efficacy and Toxicity of Hypofractionated Palliative Radiotherapy for Breast Cancer Patients with Skin Invasion
Pakistan Armed Forces Medical Journal
Breast cancer
Hypofractionated hypofractionated palliative radiotherapy
Palliative therapy
title Efficacy and Toxicity of Hypofractionated Palliative Radiotherapy for Breast Cancer Patients with Skin Invasion
title_full Efficacy and Toxicity of Hypofractionated Palliative Radiotherapy for Breast Cancer Patients with Skin Invasion
title_fullStr Efficacy and Toxicity of Hypofractionated Palliative Radiotherapy for Breast Cancer Patients with Skin Invasion
title_full_unstemmed Efficacy and Toxicity of Hypofractionated Palliative Radiotherapy for Breast Cancer Patients with Skin Invasion
title_short Efficacy and Toxicity of Hypofractionated Palliative Radiotherapy for Breast Cancer Patients with Skin Invasion
title_sort efficacy and toxicity of hypofractionated palliative radiotherapy for breast cancer patients with skin invasion
topic Breast cancer
Hypofractionated hypofractionated palliative radiotherapy
Palliative therapy
url https://www.pafmj.org/index.php/PAFMJ/article/view/7443
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