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A Nationwide Survey of UK Oncologists Views on the Choice of Radiotherapy Regime for the Reconstructed Chest Wall in Breast Cancer Patients

机译:英国肿瘤学家对乳腺癌患者重建胸壁的放射治疗方案选择的观点的全国性调查

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摘要

Aims. This paper describes a UK survey of the choice of radiotherapy regime for the reconstructed chest wall in breast cancer patients. Questions focused on which fractionation regime consultants choose, their reasons for this, whether the type of reconstruction influences their choice, and whether bolus is used in patients who have undergone immediate reconstructive surgery. Materials and Methods. Between July 2014 and July 2015 a survey was sent by email to UK consultant radiation oncologists treating breast cancer. Results. The response rate was 73%. 67% of respondents use 40 Gray (Gy) in 15 fractions, with 22% using 50 Gy in 25 fractions and 7% using other regimes. For 90% of consultants the type of reconstruction did not influence their decision regarding choice of fractionation. 83% of respondents do not usually use a bolus for chest wall radiotherapy in patients who have had immediate reconstructive surgery. Conclusions. This survey illustrates there is variation in practice in the management of patients with breast cancer who have undergone immediate reconstructive surgery in the UK. There is a need for further research to determine which fractionation regime is optimal, whether the type of surgery is relevant, and whether bolus should be added.
机译:目的本文介绍了英国对乳腺癌患者重建胸壁放疗方案选择的调查。问题集中在选择哪种分级方案顾问,其原因,重建的类型是否影响他们的选择以及是否在接受立即重建手术的患者中使用推注。材料和方法。在2014年7月至2015年7月之间,通过电子邮件将调查发送给了治疗乳腺癌的英国顾问放射肿瘤学家。结果。回应率为73%。 67%的受访者在15个分数中使用40 Gray(Gy),22%的参与者在25个分数中使用50%Gy,而其他方案则为7%。对于90%的顾问,重构的类型不会影响他们关于分馏选择的决定。 83%的被调查者在接受立即重建手术的患者中通常不使用推注进行胸壁放射治疗。结论。这项调查表明,在英国,接受立即重建手术的乳腺癌患者的治疗实践存在差异。有必要进行进一步的研究,以确定哪种分级方案是最佳的,手术类型是否相关以及是否应添加推注。

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