open access

Vol 12, No 1 (2016)
Review paper
Published online: 2016-05-02
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Current indications and methods of postoperative radiation therapy — repetition before the exam

Anna Niwińska, Jacek Gałecki
Oncol Clin Pract 2016;12(1):18-24.

open access

Vol 12, No 1 (2016)
REVIEW ARTICLES
Published online: 2016-05-02

Abstract

Radiation therapy is used in all stages of breast cancer: ductal carcinoma in situ, early and locally advanced breast cancer, locoregional recurrence, and in patients with bone and central nervous system relapse. This modality has been used for decades, and improvements in contemporary methods of target delineation, radiation techniques, and dose fractionation can be seen nowadays. Despite technological advancement, late cardiac and lung side effects after radiotherapy remain an unresolved problem. Potentially cardiotoxic targeted therapy and cytotoxic agents additionally elevate the risk of cardiotoxicity. The indications and the techniques of adjuvant radiation therapy after breast-conserving surgery and mastectomy, supported by ESMO, ESTRO, ASTRO, NCCN, and St Gallen recommendations, are discussed in this article. The review is dedicated to oncologists, especially non-radiotherapy specialists, who are in final stage of training before the speciality exams.

Abstract

Radiation therapy is used in all stages of breast cancer: ductal carcinoma in situ, early and locally advanced breast cancer, locoregional recurrence, and in patients with bone and central nervous system relapse. This modality has been used for decades, and improvements in contemporary methods of target delineation, radiation techniques, and dose fractionation can be seen nowadays. Despite technological advancement, late cardiac and lung side effects after radiotherapy remain an unresolved problem. Potentially cardiotoxic targeted therapy and cytotoxic agents additionally elevate the risk of cardiotoxicity. The indications and the techniques of adjuvant radiation therapy after breast-conserving surgery and mastectomy, supported by ESMO, ESTRO, ASTRO, NCCN, and St Gallen recommendations, are discussed in this article. The review is dedicated to oncologists, especially non-radiotherapy specialists, who are in final stage of training before the speciality exams.

Get Citation

Keywords

breast cancer; conformal radiation therapy; intensity-modulated radiation therapy (IMRT); hypofractionation; cardiotoxicity

About this article
Title

Current indications and methods of postoperative radiation therapy — repetition before the exam

Journal

Oncology in Clinical Practice

Issue

Vol 12, No 1 (2016)

Article type

Review paper

Pages

18-24

Published online

2016-05-02

Bibliographic record

Oncol Clin Pract 2016;12(1):18-24.

Keywords

breast cancer
conformal radiation therapy
intensity-modulated radiation therapy (IMRT)
hypofractionation
cardiotoxicity

Authors

Anna Niwińska
Jacek Gałecki

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