Radiotherapy after Breast-Preserving Surgery for Early Breast Cancer-Basic Principles and Our Experience

Marinova, Lena; Petrova, Kristina; Evgeniev, Nikolay

doi:10.26420/austinjmedoncol.2021.1058

Cited by 1 publication

(1 citation statement)

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“…For stage IIA ВС, the decision was to treat her with chemotherapy followed by postmastectomy radiation therapy due to multiple risk factors, including focal lymphovascular space invasion and 2 positive lymph nodes [29]. Breast-preserving surgery with subsequent high-tech radiotherapy has a great contribution to achieving very good therapeutic and cosmetic results [30]. Adjuvant left breast radiotherapy (ALBRT) for breast cancer can result in a significant radiation dose to the heart [31].…”

Section: Discussionmentioning

confidence: 99%

Intensity Modulated Radiotherapy of Two Simultaneous Neoplasms - Cervical Carcinoma and Breast Carcinoma: A Case Report with a Review of the Literature

Marinova¹,

Petrov²,

Vassileva³

et al. 2021

J. Can. Res. Updates

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Concomitant expression of two neoplasms-cervical carcinoma (CC) and breast carcinoma (BC) is a relatively rare pathology. The manifestation of synchronous primary neoplasms is a challenge for the treating team as it puts a number of questions about the healing strategy.We present a 57-year-old patient after total laparohisterectomy with lymphatic pelvic dissection on the local advanced CC/IIIB clinical stage. Intensity-modulated radiotherapy (IMRT) in the small pelvis and the upper 2/3 of the vaginal cuff with daily dose (DD) 1.8 Gy up to total dose (TD) 50.4 Gy combined with Cisplatin (50 mg/m 2 ) once a week, was conducted. After 4 months from the diagnosis and complex treatment of CC, PET/CT establishes a second neoplasminvasive ductal carcinoma in the left mammary gland. After the breast-conserving surgery of BC, we are currently conducting Deep Inspiration Breath-Hold (DIBH) Radiation Technique on the left breast with DD 2 Gy up to TD 50 Gy. After 1 month of pelvic RT completion, RT on the paraaortal lymph nodes with DD 1.8 Gy up to TD 50 Gy should be conducted.The discussion focuses on the simultaneous expression of two or more neoplasms, their relationship with genetic and other unfavorable predisposing factors, as well as the expected survival after the complex treatment of the two invasive carcinomas, involving IMRT.For the treatment of multiple malignancies, each case must be considered individually, ideally by a multidisciplinary team. If it is necessary to apply radiotherapy, the use of high-tech radiotherapeutic apparatus with the ability to perform modern radiotherapy techniques such as IMRT is required.

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Section: Discussionmentioning

confidence: 99%