文献检索文档翻译深度研究
Suppr Zotero 插件Zotero 插件
邀请有礼套餐&价格历史记录

新学期,新优惠

限时优惠:9月1日-9月22日

30天高级会员仅需29元

1天体验卡首发特惠仅需5.99元

了解详情
不再提醒
插件&应用
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
高级版
套餐订阅购买积分包
AI 工具
文献检索文档翻译深度研究
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2025

大分割全乳及部分乳腺照射:巴西放射治疗学会(SBRT)共识

Hypofractionated whole and partial breast irradiation: Brazilian Society of Radiotherapy (SBRT) consensus.

作者信息

Freitas Nilceana Maya Aires, Rosa Arthur Accioly, Castilho Marcus Simoes, Hanna Samir Abdallah, Campos Conceicao, de Andrade Carvalho Heloisa, Gondim Guilherme Rocha Melo, da Rocha Zanuncio Pedro Henrique, Fernandez Claudia Regina Scaramello Hadlich Willis, De Almeida Junior Wilson José, Borges Allisson Bruno Barcelos, Obst Fernando Mariano, Paiva Jean Teixeira, Faroni Lilian Dantonino, Campana André, de Sousa Cecília Félix Penido Mendes, Freitas-Junior Ruffo, Mattar Andre, de Resende Cristiano Augusto Andrade, Leite Rodrigo, Marta Gustavo Nader

机构信息

Serviço de Radioterapia do Hospital de Câncer Araújo Jorge, Instituto de Mastologia e Oncologia (IMO) e Oncoclínicas em Goiânia, Goiânia, Brazil.

Hospital Santa Izabel, Oncoclinicas Salvador, Salvador, Brazil.

出版信息

Rep Pract Oncol Radiother. 2025 Jun 7;30(2):236-245. doi: 10.5603/rpor.105862. eCollection 2025.


DOI:10.5603/rpor.105862
PMID:40635983
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12236765/
Abstract

BACKGROUND: Breast cancer is the most common cancer in women worldwide, with 73,610 new cases expected annually in Brazil between 2023 and 2025. Post-operative radiation therapy (PORT) is a critical component of treatment, and recent advances have allowed for shorter treatment times that can help overcome shortages in low- and middle-income countries. The Brazilian Society of Radiotherapy (SBRT) updated its consensus on hypofractionated whole-breast radiotherapy and included recommendations for partial breast irradiation. MATERIALS AND METHODS: The SBRT convened a national panel of experts to develop updated recommendations. Using a modified Delphi method, the panel reached a consensus through structured rounds of voting. Recommendations were categorized based on the strength of available evidence. RESULTS: The consensus supports hypofractionation, which offers shorter, cost-effective treatment schedules, and partial breast irradiation (PBI), which targets high-risk areas while sparing healthy tissue. Despite high-quality evidence, adopting these techniques has been inconsistent. The panel's recommendations provide evidence-based guidance to clinicians, tailored to the Brazilian context, emphasizing safety and efficacy. CONCLUSION: The updated SBRT consensus presents hypofractionation and PBI as practical alternatives to conventional radiation therapy, offering improved access and reduced costs. These recommendations aim to guide clinicians in adopting these approaches and help address barriers to access.

摘要

背景:乳腺癌是全球女性中最常见的癌症,预计2023年至2025年期间巴西每年有73610例新发病例。术后放射治疗(PORT)是治疗的关键组成部分,最近的进展使得治疗时间缩短,这有助于克服低收入和中等收入国家的短缺问题。巴西放射治疗协会(SBRT)更新了其关于大分割全乳放疗的共识,并纳入了部分乳腺照射的建议。 材料与方法:SBRT召集了一个全国专家小组来制定更新后的建议。该小组采用改良的德尔菲法,通过结构化的投票轮次达成共识。建议根据现有证据的强度进行分类。 结果:该共识支持大分割放疗,其提供了更短、更具成本效益的治疗方案,以及部分乳腺照射(PBI),后者针对高危区域,同时保护健康组织。尽管有高质量的证据,但这些技术的采用并不一致。该小组的建议为临床医生提供了基于证据的指导,根据巴西的情况进行了调整,强调了安全性和有效性。 结论:更新后的SBRT共识提出大分割放疗和PBI是传统放疗的实用替代方案,可改善可及性并降低成本。这些建议旨在指导临床医生采用这些方法,并帮助解决可及性障碍。

相似文献

[1]
Hypofractionated whole and partial breast irradiation: Brazilian Society of Radiotherapy (SBRT) consensus.

Rep Pract Oncol Radiother. 2025-6-7

[2]
Hail Lifestyle Medicine consensus position statement as a medical specialty: Middle Eastern perspective.

Front Public Health. 2025-6-20

[3]
Cost-effectiveness of using prognostic information to select women with breast cancer for adjuvant systemic therapy.

Health Technol Assess. 2006-9

[4]
Comparison of Two Modern Survival Prediction Tools, SORG-MLA and METSSS, in Patients With Symptomatic Long-bone Metastases Who Underwent Local Treatment With Surgery Followed by Radiotherapy and With Radiotherapy Alone.

Clin Orthop Relat Res. 2024-12-1

[5]
Partial breast irradiation versus whole breast radiotherapy for early breast cancer.

Cochrane Database Syst Rev. 2021-8-30

[6]
The Black Book of Psychotropic Dosing and Monitoring.

Psychopharmacol Bull. 2024-7-8

[7]
Partial breast irradiation for early breast cancer.

Cochrane Database Syst Rev. 2016-7-18

[8]
Management of urinary stones by experts in stone disease (ESD 2025).

Arch Ital Urol Androl. 2025-6-30

[9]
NIH consensus development conference draft statement on vaginal birth after cesarean: new insights.

NIH Consens State Sci Statements. 2010-3-10

[10]
OARSI recommendations for the management of hip and knee osteoarthritis, part I: critical appraisal of existing treatment guidelines and systematic review of current research evidence.

Osteoarthritis Cartilage. 2007-9

本文引用的文献

[1]
Hypofractionated vs Conventionally Fractionated Postmastectomy Radiation After Implant-Based Reconstruction: A Randomized Clinical Trial.

JAMA Oncol. 2024-10-1

[2]
Physician- and Patient-Reported Outcomes of the MC1635 Phase 3 Trial of Ultrahypofractionated Versus Moderately Hypofractionated Adjuvant Radiation Therapy After Breast-Conserving Surgery.

Int J Radiat Oncol Biol Phys. 2024-3-15

[3]
Dose-escalated simultaneous integrated boost radiotherapy in early breast cancer (IMPORT HIGH): a multicentre, phase 3, non-inferiority, open-label, randomised controlled trial.

Lancet. 2023-6-24

[4]
Use of tumour bed boost radiotherapy in volume replacement oncoplastic breast surgery: A systematic review.

Crit Rev Oncol Hematol. 2023-6

[5]
Cost containment analysis and access to treatment associated with adopting hypofractionated radiation therapy from the Brazilian perspective.

Lancet Reg Health Am. 2022-6-9

[6]
Radiation doses and fractionation schedules in non-low-risk ductal carcinoma in situ in the breast (BIG 3-07/TROG 07.01): a randomised, factorial, multicentre, open-label, phase 3 study.

Lancet. 2022-8-6

[7]
Ultra-Hypofractionated vs. Moderate Fractionated Whole Breast Three Dimensional Conformal Radiotherapy during the COVID-19 Pandemic.

Medicina (Kaunas). 2022-5-30

[8]
Adoption of Ultrahypofractionated Radiation Therapy in Patients With Breast Cancer.

Adv Radiat Oncol. 2021-12-24

[9]
Moderately hypofractionated post-operative radiation therapy for breast cancer: Systematic review and meta-analysis of randomized clinical trials.

Breast. 2022-4

[10]
European Society for Radiotherapy and Oncology Advisory Committee in Radiation Oncology Practice consensus recommendations on patient selection and dose and fractionation for external beam radiotherapy in early breast cancer.

Lancet Oncol. 2022-1

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

推荐工具

医学文档翻译智能文献检索