Advertisement!
Author Information Pack
Editorial Board
Submit article
Special Issue
Editor's selection process
Join as Reviewer/Editor
List of Reviewer
Indexing Information
Most popular articles
Purchase Single Articles
Archive
Free Online Access
Current Issue
Recommend this journal to your library
Advertiser
Accepted Articles
Search Articles
Email Alerts
FAQ
Contact Us
Indian Journal of Cancer Education and Research

Volume  3, Issue 1, Jan-Jun 2015, Pages 5-9
 

Original Article

Comparison of Results Between EBRT Conventional Treatment and Hypofractionation Schedules in Breast Cancer Patients

Kharde Rohan1, Singh K. K.2, Nikam Bhushan3, Nagshet Siddharth4, Rastogi Khushboo5,

1-2 Prof & Head, 3Asst Prof, 4II yr. Resident, 5I yr. Resident, Dept. of Radiotherapy & Oncology, Rural Medical College, PIMS-DU, Loni 413736, Dist: Ahmednagar. M.S., India.

Choose an option to locate / access this Article:
90 days Access
Check if you have access through your login credentials.        PDF      |
|

Open Access: View PDF

DOI: DOI: https://dx.doi.org/10.21088/ijcer.2321.9815.3115.1

Abstract

Aim: To assess efficacy of shorter fractionated Radiotherapy in post mastectomy cancer breast patients Methods:  Inclusion Critaria– Histopathologically proven cases with Infiltrating Duct Carcinoma (IDC), Post mastectomy cases, No prior treatment (Except surgery and chemotherapy with CAF)  Node Positive Cases,T3 & T4 Tumours, Positive surgical margins Exclusion Critaria: Metastatic-disseminated disease, Female less than 18 years and more than 70 years, Severe medical illness like heart disease, COPD, Neurological disorder. Between July 2012 to July 2014, 172 patients were included and divided into three groups, Control Group and two Study Groups. 3D-CRT Radiotherapy was given in Control Group in a dose of 50 Gy in 25# for 5 weeks.  One study group  received radiotherapy of 4000 cGy in 15# for 3 weeks and another study group received 4250 cGy in 16# for 3 ½ weeks. Linear Accelerator was used for the radiation treatment. Ipsilateral supraclavicular fossa (SCF) irradiation was done in patients who had more than 3 axillary nodes positive, patients who had positive supraclavicular nodes at presentation and those with inadequate axillary nodal dissection. Results: At 2 years, the incidence of chest wall stiffness in the study group 1 was 44.64%, in study group 2 it was 47.36% and 47.45% patients were in control group. The incidence of arm edema was 16.07% in the study group 1, 15.78% in study group 2 and 18.64% patients in control group. Local recurrence-free survival was 96.42% in the study group 1, 98.24% in study group 2 and 98.3% in the control group. Not a single patient had developed radiation pneumonitis. Conclusion: Shorter fractionation schedule is very much effective in preventing recurrent breast cancer and it provides a high level of patient satisfaction as well as reduced money and overall treatment time. Its shorter duration offers the added advantage of a more efficient use of resources and greater patient convenience. 


Corresponding Author : Singh K. K.2