Autor según el artículo: Aristei C; Kaidar-Person O; Tagliaferri L; Arenas M; Coles CE; Offersen BV; Frezza G; Leonardi MC; Valentini V; Bourgier C; Poortmans PMP.

Departamento: Ciències Mèdiques Bàsiques

Autor/es de la URV: Arenas Prat, Meritxell

Palabras clave: Survey Post-mastectomy radiotherapy Breast reconstruction Breast cancer post-mastectomy radiotherapy breast reconstruction breast cancer

Resumen: PURPOSE: To describe the current European practise on post-mastectomy radiation therapy (PMRT) in relation to breast reconstruction. METHODS: A 21-item questionnaire was distributed online via Survey Monkey. Items referred to 1. general topics (country, centre, years of experience in breast cancer); 2. clinical decision making; 3. RT techniques and dosimetry; 4. dose fractionation. RESULTS: 283 responses were received from 19 countries. Most responders worked in public health services and in academic institutions and had 5-20 years experience. Although many indicated they were consulted about the timing and type of breast reconstructive surgery, final decisions were most often made by surgeons. Immediate reconstruction with expander followed by RT and subsequently permanent reconstruction with prosthesis was recommended by 61.6% of responders. Most (48.4%) adviced a boost only when margins were close or involved with an another 17.7% recommending it in the presence of high-risk features (T3-T4, lympho-vascular involvement). Intensity modulated RT was rarely used by about two-thirds of responders, except when with 3D technique the dose constraints were not achieved or when regional lymph nodes were included. Almost 60% of responders did not use bolus/tissue equivalent material (TEM). The main indication for bolus/TEM use was skin involvement. The majority of responders used 1.8-2 Gy per fraction. CONCLUSIONS: The present survey highlighted controversial areas in clinical practise, confirming the uncertainties about the scheduling of PMRT and breast reconstruction.

Áreas temáticas: Surgery Oncology Medicine (miscellaneous) Medicina iii Medicina ii Medicina i General medicine Enfermagem

Acceso a la licencia de uso: https://creativecommons.org/licenses/by/3.0/es/

ISSN: 07487983

Direcció de correo del autor: meritxell.arenas@urv.cat

Identificador del autor: 0000-0003-0815-2570

Fecha de alta del registro: 2023-02-18

Versión del articulo depositado: info:eu-repo/semantics/acceptedVersion

Enlace a la fuente original: https://www.ejso.com/article/S0748-7983(18)30039-8/fulltext

URL Documento de licencia: http://repositori.urv.cat/ca/proteccio-de-dades/

Referencia al articulo segun fuente origial: Ejso. 44 (4): 436-443

Referencia de l'ítem segons les normes APA: Aristei C; Kaidar-Person O; Tagliaferri L; Arenas M; Coles CE; Offersen BV; Frezza G; Leonardi MC; Valentini V; Bourgier C; Poortmans PMP. (2018). The Assisi Think Tank Meeting and Survey of post MAstectomy Radiation Therapy after breast reconstruction: The ATTM-SMART report.. Ejso, 44(4), 436-443. DOI: 10.1016/j.ejso.2018.01.010

DOI del artículo: 10.1016/j.ejso.2018.01.010

Entidad: Universitat Rovira i Virgili

Año de publicación de la revista: 2018

Tipo de publicación: Journal Publications