Recent Developments in Radiation Oncology: An Overview of Individualised Treatment Strategies in Breast Cancer

被引：16

作者：

Pazos, Montserrat ^{[1
]}

Schoenecker, Stephan ^{[1
]}

Reitz, Daniel ^{[1
]}

Rogowski, Paul ^{[1
]}

Niyazi, Maximilian ^{[1
]}

Alongi, Filippo ^{[2
,3
]}

Matuschek, Christiane ^{[4
]}

Braun, Michael ^{[5
]}

Harbeck, Nadia ^{[6
]}

Belka, Claus ^{[1
]}

Corradini, Stefanie ^{[1
]}

机构：

[1] Ludwig Maximilians Univ Munchen, Univ Hosp, Dept Radiat Oncol, Marchioninistr 15, D-81377 Munich, Germany

[2] Sacro Cuore Don Calbria Negrar, Dept Radiat Oncol, Verona, Italy

[3] Univ Brescia, Brescia, Italy

[4] Heinrich Heine Univ, Dept Radiat Oncol, Dusseldorf, Germany

[5] Red Cross Hosp, Dept Gynecol & Obstet, Munich, Germany

[6] Ludwig Maximilians Univ Munchen, Univ Hosp, Dept Gynecol & Obstet, Breast Ctr, Munich, Germany

来源：

BREAST CARE | 2018年 / 13卷 / 04期

关键词：

Breast cancer; Individualised therapy; Hypofractionation; Risk-adapted; REGIONAL NODAL IRRADIATION; RANDOMIZED CLINICAL-TRIAL; ISCHEMIC-HEART-DISEASE; PHASE-II TRIAL; NO BOOST TRIAL; TERM-FOLLOW-UP; CONSERVING SURGERY; INTERNAL MAMMARY; NEOADJUVANT CHEMOTHERAPY; LYMPH-NODES;

D O I：

10.1159/000488189

中图分类号：

R73 [肿瘤学];

学科分类号：

100214 ;

摘要：

Radiation therapy (RT) for breast cancer has dramatically changed over the past years, leading to individualized risk-adapted treatment strategies. Historically, the choice of RT regimen was limited to conventional fractionation protocols using standard tangential fields. Nowadays, technological and technical improvements in modern RT have added a variety of other RT modalities, different fractionation schedules, and individualised treatment volumes to the portfolio of breast RT. This review aims to give a short overview on the main topics which have recently found their way into clinical practice: hypofractionated treatment protocols, accelerated partial breast irradiation (APBI) for low-risk patients, deep inspiration breath hold (DIBH) for maximal heart protection, extent of regional nodal irradiation for high-risk patients, and the implementation of new radiation techniques such as intensity modulated RT (IMRT) and volumetric modulated RT (VMAT). (C) 2018 S. Karger GmbH, Freiburg

引用

页码：285 / 291

页数：7

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