Radiation Therapy in the Hispanic Breast Cancer Population: An Analysis of Patient Demographics and the Impact of Insurance Status on Rates of Breast Conserving Radiation Therapy.

Henson, Clarissa F.; Lien, Da Hsiang Donald; Nazario, N.A.

doi:10.1016/j.ijrobp.2020.07.2467

International Journal of Radiation Oncology*Biology*Physics

2020

DOI: 10.1016/j.ijrobp.2020.07.2467

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Radiation Therapy in the Hispanic Breast Cancer Population: An Analysis of Patient Demographics and the Impact of Insurance Status on Rates of Breast Conserving Radiation Therapy.

Clarissa F. Henson

Da Hsiang Donald Lien

N.A. Nazario

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2024

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Revision Surgeries After Proton vs Photon Postmastectomy Radiation Therapy in Prepectoral Implant–Based Breast Reconstruction

Desai,

Mangal,

Padilla

et al. 2024

Aesthetic Surgery Journal

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Background Postmastectomy radiation therapy (PMRT) improves disease-free survival in breast cancer but reduces aesthetic satisfaction. Proton PMRT has gained popularity due to fewer systemic complications. There is a lack of data regarding revision surgeries for pre-pectoral implant-based breast reconstruction (PP-IBBR) following radiation. Objectives To compare the revision surgeries in PP-IBBR with photon versus proton PMRT. Methods A single-institution retrospective cohort study included breast cancer patients undergoing mastectomy and PP-IBBR with PMRT (January 2020-October 2022) The mean follow-up duration for the cohort was 1056.4 days (2.89 years). Revision surgeries evaluated were fat grafting, conversion to autologous flaps, implant replacement, implant removal, capsulectomy, and scar revision. Results 116 PP-IBBR were divided into two cohorts: photon (75, 64.66%) and proton (41, 35.34%) radiation cohorts. Overall corrective surgeries were higher with photon (27.5% overall; 32.4% photon vs 19.5% proton, p=0.132). The odds of any revision surgery were nearly double with photon (OR=1.98), and the conversion to an autologous flap was significantly more likely with photon (OR=4.55, p=0.025). Multivariable analysis showed an increased tendency for photon therapy patients to require any revision surgeries (OR=1.62, p=0.359), autologous flaps (OR=5.97, p=0.049), fat grafting (OR=1.52, p=0.664) and scar revision (OR=4.51, p=0.273). Conclusions Compared to proton therapy, traditional photon therapy has a higher conversion rate to autologous flaps with PP-IBBR. Photon therapy had higher rates of overall revision surgeries, however not statistically significant. Proton therapy is safer, with fewer revision surgeries, warranting larger studies and broader utilization.

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Revision Surgeries After Proton vs Photon Postmastectomy Radiation Therapy in Prepectoral Implant–Based Breast Reconstruction

Desai,

Mangal,

Padilla

et al. 2024

Aesthetic Surgery Journal

View full text Add to dashboard Cite

show abstract

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Radiation Therapy in the Hispanic Breast Cancer Population: An Analysis of Patient Demographics and the Impact of Insurance Status on Rates of Breast Conserving Radiation Therapy.

Cited by 1 publication

References 0 publications

Revision Surgeries After Proton vs Photon Postmastectomy Radiation Therapy in Prepectoral Implant–Based Breast Reconstruction

Revision Surgeries After Proton vs Photon Postmastectomy Radiation Therapy in Prepectoral Implant–Based Breast Reconstruction

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