Planning the breast tumor bed boost: Changes in the excision cavity volume and surgical scar location after breast-conserving surgery and whole-breast irradiation

2006 ◽  
Vol 66 (3) ◽  
pp. 680-686 ◽  
Author(s):  
Kevin S. Oh ◽  
Feng-Ming Kong ◽  
Kent A. Griffith ◽  
Beth Yanke ◽  
Lori J. Pierce
Keyword(s):  
Breast Tumor ◽  
Breast Conserving Surgery ◽  
Whole Breast Irradiation ◽  
Breast Irradiation ◽  
Cavity Volume ◽  
Surgical Scar ◽  
Tumor Bed ◽  
Tumor Bed Boost ◽  
Excision Cavity

Use of a Radiation Tumor Bed Boost After Breast-Conserving Surgery and Whole-Breast Irradiation: Time Trends and Correlates

2021 ◽  
Vol 109 (1) ◽  
pp. 273-280
Author(s):  
Martin C. Tom ◽  
Sarah M.C. Sittenfeld ◽  
Chirag Shah ◽  
Kristine Bauer-Nilsen ◽  
Rahul Tendulkar ◽  
...  
Keyword(s):  
Time Trends ◽  
Irradiation Time ◽  
Breast Conserving Surgery ◽  
Whole Breast Irradiation ◽  
Breast Irradiation ◽  
Tumor Bed ◽  
Tumor Bed Boost

scholarly journals Displacement of Surgical Clips in Patients with Human Acellular Dermal Matrix in the Excision Cavity during Whole Breast Irradiation Following Breast-Conserving Surgery

2020 ◽  
Vol 52 (2) ◽  
pp. 388-395
Author(s):  
Wonguen Jung ◽  
Kyubo Kim ◽  
Nam Sun Paik
Keyword(s):  
Acellular Dermal Matrix ◽  
Breast Conserving Surgery ◽  
Whole Breast Irradiation ◽  
Breast Irradiation ◽  
Dermal Matrix ◽  
Surgical Clips ◽  
Group A ◽  
Group B ◽  
Acellular Dermal ◽  
Excision Cavity

PurposeThe purpose of this study was to investigate the displacement of surgical clips in the excision cavity during whole breast irradiation following breast-conserving surgery (BCS) with or without acellular dermal matrix (ADM) insertion, and to analyze clinicopathologic factors associated with the displacement of surgical clips.Materials and MethodsFrom 2016 to 2017, 100 consecutive breast cancer patients who underwent BCS with the placement of surgical clips (superior, inferior, medial, lateral, and deep sides) in the tumor bed were included in this study. All patients took first planning computed tomography (CT) scan (CT 1) before whole breast irradiation and second CT scan (CT 2) before boost irradiation. Between two sets of planning CT, the displacement of surgical clips was calculated from the ΔX (lateral–medial), ΔY (anterior–posterior), ΔZ (superior–inferior), and three-dimensional (3D) directions. Patients were divided into two groups according to the breast volume replacement with ADM: group A with ADM and group B without ADM.ResultsThe means and 1 standard deviations of 3D displacement for superior, inferior, medial, lateral and deep clips were 5.2±2.9, 5.2±3.2, 5.6±4.5, 5.6±4.3, and 4.9±4.9 mm in entire cohort (n=100); 5.6±2.6, 6.0±3.5, 6.7±5.8, 6.7±5.7, and 6.1±7.4 mm in group A (n=38); 4.9±3.1, 4.8±3.0, 5.0±3.5, 5.0±2.9, and 4.3±2.8 mm in group B (n=62), respectively. The 3D displacements of group A were longer than those of group B, but only significant difference was observed in lateral clip (p=0.047).ConclusionThis study demonstrated displacement of surgical clips during whole breast irradiation in patients with ADM insertion. For patients who had breast volume replacement using ADM, adaptive boost planning should be considered.

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