Recommendations for hypofractionated whole-breast irradiation

被引：15

作者：

Aires Freitas, Nilceana Maya ^{[1
]}

Rosa, Arthur Accioly ^{[2
,3
]}

Marta, Gustavo Nader ^{[4
,5
]}

Hanna, Samir Abdalla ^{[5
]}

Hanriot, Rodrigo de Morals ^{[6
]}

Barcelos Borges, Allisson Bruno ^{[7
]}

Melo Gondim, Guilherme Rocha ^{[6
,8
]}

Assis Pellizzon, Antonio Cassio ^{[8
]}

Veras, Igor Moreira ^{[9
]}

de Almeida Junior, Wilson Jose ^{[10
]}

Hadlich Willis Fernandez, Claudia Regina Scaramello ^{[11
]}

Batalha Filho, Eronides Salustiano ^{[12
,13
]}

Castilho, Marcus Simoes ^{[14
]}

Kuhnen, Felipe Quintino ^{[15
]}

Xavier Faria Najas, Rosa Maria ^{[16
]}

Affonso Junior, Renato Jose ^{[7
]}

Correia Leite, Andre Campana ^{[17
]}

Martins Ribeiro, Homero Lavieri

Freitas-Junior, Ruffo ^{[18
,19
]}

de Oliveira, Harley Francisco ^{[20
,21
,22
]}

机构：

[1] Goias State Assoc Canc, Araujo Jorge Hosp, Radiotherapy Dept, Goiania, Go, Brazil

[2] Bahia State Portuguese Hosp, Radiotherapy Dept, Salvador, BA, Brazil

[3] Brazilian Radiotherapy Soc SBRT, Sao Paulo, SP, Brazil

[4] Univ Sao Paulo, Div Radiat Oncol, Dept Radiol & Oncol, Fac Med,ICESP, Sao Paulo, SP, Brazil

[5] Hosp Sirio Libanes, Dept Radiat Oncol, Sao Paulo, Brazil

[6] Oswaldo Cruz German Hosp, Radiotherapy Dept, Sao Paulo, SP, Brazil

[7] Barretos Canc Hosp, Radiotherapy Dept, Barretos, SP, Brazil

[8] AC Camargo Hosp, Radiotherapy Dept, Sao Paulo, SP, Brazil

[9] Reg Integrated Oncol Ctr, Radiotherapy Dept, Fortaleza, Ceara, Brazil

[10] Moinhos dos Ventos Hosp, Radiotherapy Dept, Porto Alegre, RS, Brazil

[11] Jose Alencar Gomes da Silva Natl Canc Inst, Radiotherapy Serv, Rio De Janeiro, RJ, Brazil

[12] Brasilia State Univ Hosp, Radiotherapy Dept, Brasilia, DF, Brazil

[13] Minist Hlth, Brasilia, DF, Brazil

[14] Felicio Rocho Hosp, Radiotherapy Dept, Belo Horizonte, MG, Brazil

[15] Char Hosp Florianopolis, Radiotherapy Dept, Florianopolis, SC, Brazil

[16] Rio Grande Norte State League Against Canc, Radiotherapy Dept, Natal, RN, Brazil

[17] Fundacao Ctr Controle Oncol, Dept Radiat Oncol, Manaus, Amazonas, Brazil

[18] Goias Fed Univ, Mastol Program, Goiania, Go, Brazil

[19] Brazilian Mastol Soc, Sao Paulo, SP, Brazil

[20] Univ Sao Paulo, Ctr Tratamento Radiooncol, Ribeirao Preto, SP, Brazil

[21] Univ Sao Paulo, Ribeirao Preto Med Sch FMRP, Ribeirao Preto, SP, Brazil

[22] Hosp Marcio Cunha, Ipatinga, MG, Brazil

来源：

REVISTA DA ASSOCIACAO MEDICA BRASILEIRA | 2018年 / 64卷 / 09期

关键词：

RADIOTHERAPY HYPOFRACTIONATION; UK STANDARDIZATION; RADIATION-THERAPY; CANCER; FRACTIONATION;

D O I：

10.1590/1806-9282.64.09.770

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

This recommendation consensus for hypofractionated whole-breast radiotherapy (RT) was organized by the Brazilian Society of Radiotherapy (SBRT) considering the optimal scenario for indication and safety in the technology applied. All controversies and contraindication matters (hypofractionated RT in patients who underwent chemotherapy [CT], hypofractionated RT in lymphatic drainage, hypofractionated RT after mastectomy with or without immediate reconstruction, boost during surgery, hypofractionated RT in patients under 50 years old, hypofractionated RT in large breasts, hypofractionated RT in histology of carcinoma in situ [DCIS]) was discussed during a meeting in person, and a consensus was reached when there was an agreement of at least 75% among panel members. The grade for recommendation was also suggested according to the level of scientific evidence available, qualified as weak, medium, or strong. Thus, this consensus will aid Brazilian radiotherapy experts regarding indications and particularities of this technique as a viable and safe alternative for the national reality.

引用

页码：770 / 777

页数：8

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