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http://hdl.handle.net/2445/177205
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DC Field | Value | Language |
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dc.contributor.author | Gutiérrez Miguélez, Cristina | - |
dc.contributor.author | Najjari, Dina | - |
dc.contributor.author | Martínez, Evelyn | - |
dc.contributor.author | Botella, Saray | - |
dc.contributor.author | Eraso Urién, Arantxa | - |
dc.contributor.author | Pino Sorroche, Francisco | - |
dc.contributor.author | Moreno, Ferran | - |
dc.contributor.author | Pera Fàbregas, Joan | - |
dc.contributor.author | Guedea Edo, Ferran | - |
dc.date.accessioned | 2021-05-11T15:45:46Z | - |
dc.date.available | 2021-05-11T15:45:46Z | - |
dc.date.issued | 2015-01-01 | - |
dc.identifier.issn | 1689-832X | - |
dc.identifier.uri | http://hdl.handle.net/2445/177205 | - |
dc.description.abstract | Purpose: to demonstrate the utility of a boost with interstitial brachytherapy (BT) in breast-conserving therapy (BCT) by doing a thorough review of the literature and describing in detail our technique for delivering this boost. Material and methods: our department has been delivering the boost with interstitial BT since 1989, in most cases with rigid needles and a theoretical dosimetry. In the early years, we used low-dose-rate (LDR) with iridium-192 wires. The dose administered was 15 Gy if there were no risk factors for local relapse or 20-25 Gy in the presence of risk factors. The risk factors considered were the presence of a close margin (less than 10 mm) and an extensive intraductal component (more than 25%). After 2002, we switched to high-dose-rate (HDR); using the linear quadratic model we changed the low dose to 3 fractions of 4.5 Gy in the case of no risk factors for local relapse or to 3 fractions of 5 Gy in the presence of risk factors. Results: in 79 consecutive boost patients treated in our department between 2010 and 2011, with a median follow-up of 46 months, the local control rate was 97.47%. With respect to cosmesis, fibrosis occurred in 17 cases (21.5%) and hyperpigmentation in 26 cases (32.9%). Our hospital's results are comparable in terms of local control and cosmesis to those of other authors. Conclusions: this educational article describes our department's boost technique with rigid needles and comments briefly on our results using this technique in a group of consecutively treated patients in our department. A review of the literature and the published results on local control and cosmesis is also described. | - |
dc.format.extent | 7 p. | - |
dc.format.mimetype | application/pdf | - |
dc.language.iso | eng | - |
dc.publisher | Polish Brachytherapy Society | - |
dc.relation.isformatof | Reproducció del document publicat a: https://doi.org/10.5114/jcb.2014.46757 | - |
dc.relation.ispartof | Journal of Contemporary Brachytherapy, 2015, vol. 6, num. 4, p. 397-403 | - |
dc.relation.uri | https://doi.org/10.5114/jcb.2014.46757 | - |
dc.rights | (c) Polish Brachytherapy Society, 2015 | - |
dc.source | Articles publicats en revistes (Ciències Clíniques) | - |
dc.subject.classification | Braquiteràpia | - |
dc.subject.classification | Càncer de mama | - |
dc.subject.classification | Tractament adjuvant del càncer | - |
dc.subject.other | Radioisotope brachytherapy | - |
dc.subject.other | Breast cancer | - |
dc.subject.other | Adjuvant treatment of cancer | - |
dc.title | The use of an interstitial boost in the conservative treatment of breast cancer: how to perform it routinely in a radiotherapy department | - |
dc.type | info:eu-repo/semantics/article | - |
dc.type | info:eu-repo/semantics/publishedVersion | - |
dc.identifier.idgrec | 660874 | - |
dc.date.updated | 2021-05-11T15:45:46Z | - |
dc.rights.accessRights | info:eu-repo/semantics/openAccess | - |
dc.identifier.pmid | 25834585 | - |
Appears in Collections: | Articles publicats en revistes (Ciències Clíniques) Articles publicats en revistes (Institut d'lnvestigació Biomèdica de Bellvitge (IDIBELL)) |
Files in This Item:
File | Description | Size | Format | |
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660874.pdf | 331.26 kB | Adobe PDF | View/Open |
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