Use of tumour bed boost radiotherapy in volume replacement oncoplastic breast surgery: A systematic review.
Crit Rev Oncol Hematol
; 186: 103996, 2023 Jun.
Article
em En
| MEDLINE
| ID: mdl-37061072
ABSTRACT
Tumour bed boost radiotherapy (RT) following breast conserving surgery reduces local recurrence in high-risk disease. There is recent debate over challenges to accurately localise tumour bed for RT boost delivery following volume replacement oncoplastic breast surgery (VR-OBS). This review evaluates the reporting of RT boost following VR-OBS in the literature published between January 2010 and December 2021. This review was in line with Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (PRISMA). Nine studies met the inclusion criteria (n = 670 patients), and RT boost was used in eight studies. Boost was administered in total to 384 patients (62.5% of irradiated patients). Only two studies reported boost planned target volumes and only one compared these against surgical specimen volumes. RT boost was not reported in most published studies on VR-OBS. Future prospective research are strongly needed to evaluate long-term outcomes of VR-OBS following RT boost, especially on breast cosmesis and patients' satisfaction.
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MEDLINE
Assunto principal:
Mama
/
Neoplasias da Mama
Idioma:
En
Ano de publicação:
2023
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Article