Radiotherapy as a Conservative Treatment for Breast Cancer

Detalhes bibliográficos
Autor(a) principal: von Pfuhl, Oscar Rocha
Data de Publicação: 2023
Outros Autores: Miola, Uéber José, Campos, José Carlos Ferraz de
Tipo de documento: Artigo
Idioma: por
Título da fonte: Revista Brasileira de Cancerologia (Online)
Texto Completo: https://rbc.inca.gov.br/index.php/revista/article/view/3641
Resumo: The review of 545 cases of cancer of the breast, 10% of which were treated by exclusive radiotherapy, emphasized the trend towards conservative treatment, because 29,8% of mastectomized women died within two years from the operation with distant metastases. As it is possible with radiotherapy to cause fibrosis or keep inactive breast tumors up to 5 cm diameter for two years or longer, one must consider irradiation as a good option for young women with small tumors. It was used a combination of tangencial radiotherapy up to 5.000 rads to the whole breast with a boost dose two weeks later of 3.000 to 4.000 rads by means of intersticial radiotherapy given only to the palpable tumor.This was fulfilled by the afterloading method according to a System described as geometrization of the breast by parallel plates where holes were drilled for the needies. No recurrence was seen in 4 years in the selected group of 12 patients submitted to the mentioned treatment.
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spelling Radiotherapy as a Conservative Treatment for Breast CancerA Radioterapia como Tratamento Conservador do Câncer da MamaNeoplasias da Mama/terapiaNeoplasias da Mama/radioterapiaTratamento ConservadorBreast Neoplasms/therapyBreast Neoplasms/radiotherapyConservative TreatmentNeoplasias de la Mama/terapiaNeoplasias de la Mama/radioterapiaTratamiento ConservadorThe review of 545 cases of cancer of the breast, 10% of which were treated by exclusive radiotherapy, emphasized the trend towards conservative treatment, because 29,8% of mastectomized women died within two years from the operation with distant metastases. As it is possible with radiotherapy to cause fibrosis or keep inactive breast tumors up to 5 cm diameter for two years or longer, one must consider irradiation as a good option for young women with small tumors. It was used a combination of tangencial radiotherapy up to 5.000 rads to the whole breast with a boost dose two weeks later of 3.000 to 4.000 rads by means of intersticial radiotherapy given only to the palpable tumor.This was fulfilled by the afterloading method according to a System described as geometrization of the breast by parallel plates where holes were drilled for the needies. No recurrence was seen in 4 years in the selected group of 12 patients submitted to the mentioned treatment.O estudo de 545 casos de câncer da mama, dos quais 10% foram tratados com radioterapia exclusiva, veio reforçar a idéia da alternativa conservadora, visto que naquela estatística 29,8% das mulheres mastectomizadas morreram antes dos dois anos de evolução, com disseminação à distância. Como é possível com radioterapia fíbrosar ou manter inativos tumores de mama de até 5 cm de diâmetro, por período de dois anos ou mais, segue-se que a opção conservadora deve ser considerada, em relação a pacientes jovens com tumores pequenos. O método de tratamento preconizado é a combinação de radioterapia tangencial, na dose de 5.000 rads em binário duplo no volume todo da mama, e mais complementação até o total de 8.000 a 9.000 rads somente no volume tumoral palpável, feita com radioterapia intersticial, segundo o sistema descrito de geometrização da mama entre placas paralelas perfuradas e atravessadas pelas agulhas radioativas conforme o sistema de pós-carga.INCA2023-08-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionArtigos, Avaliado pelos paresapplication/pdfhttps://rbc.inca.gov.br/index.php/revista/article/view/364110.32635/2176-9745.RBC.1977v27n5.3641Revista Brasileira de Cancerologia; Vol. 27 No. 5 (1977): Sept./Oct.; 5-12Revista Brasileira de Cancerologia; Vol. 27 Núm. 5 (1977): sept./oct.; 5-12Revista Brasileira de Cancerologia; v. 27 n. 5 (1977): set./out.; 5-122176-9745reponame:Revista Brasileira de Cancerologia (Online)instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)instacron:INCAporhttps://rbc.inca.gov.br/index.php/revista/article/view/3641/2513https://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessvon Pfuhl, Oscar RochaMiola, Uéber JoséCampos, José Carlos Ferraz de2023-08-14T17:54:16Zoai:rbc.inca.gov.br:article/3641Revistahttps://rbc.inca.gov.br/index.php/revistaPUBhttps://rbc.inca.gov.br/index.php/revista/oairbc@inca.gov.br0034-71162176-9745opendoar:2023-08-14T17:54:16Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)false
dc.title.none.fl_str_mv Radiotherapy as a Conservative Treatment for Breast Cancer
A Radioterapia como Tratamento Conservador do Câncer da Mama
title Radiotherapy as a Conservative Treatment for Breast Cancer
spellingShingle Radiotherapy as a Conservative Treatment for Breast Cancer
von Pfuhl, Oscar Rocha
Neoplasias da Mama/terapia
Neoplasias da Mama/radioterapia
Tratamento Conservador
Breast Neoplasms/therapy
Breast Neoplasms/radiotherapy
Conservative Treatment
Neoplasias de la Mama/terapia
Neoplasias de la Mama/radioterapia
Tratamiento Conservador
title_short Radiotherapy as a Conservative Treatment for Breast Cancer
title_full Radiotherapy as a Conservative Treatment for Breast Cancer
title_fullStr Radiotherapy as a Conservative Treatment for Breast Cancer
title_full_unstemmed Radiotherapy as a Conservative Treatment for Breast Cancer
title_sort Radiotherapy as a Conservative Treatment for Breast Cancer
author von Pfuhl, Oscar Rocha
author_facet von Pfuhl, Oscar Rocha
Miola, Uéber José
Campos, José Carlos Ferraz de
author_role author
author2 Miola, Uéber José
Campos, José Carlos Ferraz de
author2_role author
author
dc.contributor.author.fl_str_mv von Pfuhl, Oscar Rocha
Miola, Uéber José
Campos, José Carlos Ferraz de
dc.subject.por.fl_str_mv Neoplasias da Mama/terapia
Neoplasias da Mama/radioterapia
Tratamento Conservador
Breast Neoplasms/therapy
Breast Neoplasms/radiotherapy
Conservative Treatment
Neoplasias de la Mama/terapia
Neoplasias de la Mama/radioterapia
Tratamiento Conservador
topic Neoplasias da Mama/terapia
Neoplasias da Mama/radioterapia
Tratamento Conservador
Breast Neoplasms/therapy
Breast Neoplasms/radiotherapy
Conservative Treatment
Neoplasias de la Mama/terapia
Neoplasias de la Mama/radioterapia
Tratamiento Conservador
description The review of 545 cases of cancer of the breast, 10% of which were treated by exclusive radiotherapy, emphasized the trend towards conservative treatment, because 29,8% of mastectomized women died within two years from the operation with distant metastases. As it is possible with radiotherapy to cause fibrosis or keep inactive breast tumors up to 5 cm diameter for two years or longer, one must consider irradiation as a good option for young women with small tumors. It was used a combination of tangencial radiotherapy up to 5.000 rads to the whole breast with a boost dose two weeks later of 3.000 to 4.000 rads by means of intersticial radiotherapy given only to the palpable tumor.This was fulfilled by the afterloading method according to a System described as geometrization of the breast by parallel plates where holes were drilled for the needies. No recurrence was seen in 4 years in the selected group of 12 patients submitted to the mentioned treatment.
publishDate 2023
dc.date.none.fl_str_mv 2023-08-14
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
Artigos, Avaliado pelos pares
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/3641
10.32635/2176-9745.RBC.1977v27n5.3641
url https://rbc.inca.gov.br/index.php/revista/article/view/3641
identifier_str_mv 10.32635/2176-9745.RBC.1977v27n5.3641
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rbc.inca.gov.br/index.php/revista/article/view/3641/2513
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv INCA
publisher.none.fl_str_mv INCA
dc.source.none.fl_str_mv Revista Brasileira de Cancerologia; Vol. 27 No. 5 (1977): Sept./Oct.; 5-12
Revista Brasileira de Cancerologia; Vol. 27 Núm. 5 (1977): sept./oct.; 5-12
Revista Brasileira de Cancerologia; v. 27 n. 5 (1977): set./out.; 5-12
2176-9745
reponame:Revista Brasileira de Cancerologia (Online)
instname:Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron:INCA
instname_str Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
instacron_str INCA
institution INCA
reponame_str Revista Brasileira de Cancerologia (Online)
collection Revista Brasileira de Cancerologia (Online)
repository.name.fl_str_mv Revista Brasileira de Cancerologia (Online) - Instituto Nacional de Câncer José Alencar Gomes da Silva (INCA)
repository.mail.fl_str_mv rbc@inca.gov.br
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