Davis Nicola, Jyothirmayi Rema
Kent Oncology Centre, Maidstone Hospital, Maidstone, UK.
Int J Breast Cancer. 2017;2017:6385432. doi: 10.1155/2017/6385432. Epub 2017 Jan 1.
. 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. . Between July 2014 and July 2015 a survey was sent by email to UK consultant radiation oncologists treating breast cancer. . 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. . 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.
本文描述了一项关于英国乳腺癌患者重建胸壁放射治疗方案选择的调查。问题集中在放疗顾问选择哪种分割方案、选择的原因、重建类型是否会影响他们的选择，以及在接受即刻重建手术的患者中是否使用填充物。2014年7月至2015年7月期间，通过电子邮件向英国治疗乳腺癌的放疗顾问发送了一份调查问卷。回复率为73%。67%的受访者采用15次分割给予40格雷（Gy）的剂量，22%采用25次分割给予50 Gy的剂量，7%采用其他方案。对于90%的放疗顾问来说，重建类型不会影响他们对分割方案的选择。83%的受访者在对接受即刻重建手术的患者进行胸壁放疗时通常不使用填充物。这项调查表明，在英国，对接受即刻重建手术的乳腺癌患者的治疗实践存在差异。有必要进行进一步研究，以确定哪种分割方案是最佳的、手术类型是否相关，以及是否应添加填充物。
