A Comprehensive Prospective Comparison of Acute Skin Toxicity after Hypofractionated and Normofractionated Radiation Therapy in Breast Cancer.

breast cancer hypofractionation organ-sparing radiodermatitis radiotherapy

Journal

Cancers
ISSN: 2072-6694
Titre abrégé: Cancers (Basel)
Pays: Switzerland
ID NLM: 101526829

Informations de publication

Date de publication:
20 Nov 2021
Historique:
received: 13 10 2021
revised: 13 11 2021
accepted: 18 11 2021
entrez: 27 11 2021
pubmed: 28 11 2021
medline: 28 11 2021
Statut: epublish

Résumé

The current study aims to determine whether hypofractionated radiotherapy (HF) leads to lower rates of acute radiodermatitis compared to conventional normofractionated radiotherapy (CF). A total of 166 patients with invasive breast cancer or DCIS were included in a prospective cohort study. Evaluation of acute radiodermatitis was obtained before radiotherapy, at the end of the treatment (T1), and 6 weeks after the treatment (T2) using CTCAE (v5.0) scores, the Skindex-16 questionnaire, and ultrasound measurement of the skin. CTCAE and Skindex-16 scores in the CF-group were significantly higher compared to the HF group indicating more pronounced side effects at the end of the treatment (CTCAE: CF-RT 1.0 (IQR: 0.0) vs. HF-RT 0.0 (0.25);

Identifiants

pubmed: 34830981
pii: cancers13225826
doi: 10.3390/cancers13225826
pmc: PMC8616262
pii:
doi:

Types de publication

Journal Article

Langues

eng

Références

Rep Pract Oncol Radiother. 2020 Sep-Oct;25(5):775-779
pubmed: 32904392
Strahlenther Onkol. 2019 Oct;195(10):861-871
pubmed: 31321461
Lancet. 2011 Nov 12;378(9804):1707-16
pubmed: 22019144
BMC Cancer. 2013 May 07;13:230
pubmed: 23651532
Radiat Oncol. 2018 Nov 7;13(1):218
pubmed: 30404664
Lancet Oncol. 2008 Apr;9(4):331-41
pubmed: 18356109
J Clin Oncol. 2020 Nov 1;38(31):3615-3625
pubmed: 32910709
Annu Int Conf IEEE Eng Med Biol Soc. 2008 May 27;2:718-722
pubmed: 21461130
J Cutan Med Surg. 2001 Mar-Apr;5(2):105-10
pubmed: 11443481
BMC Cancer. 2014 Sep 25;14:711
pubmed: 25252713
Radiother Oncol. 2020 May;146:172-179
pubmed: 32171945
JAMA Oncol. 2015 Oct;1(7):931-41
pubmed: 26247543
BMC Cancer. 2010 Sep 23;10:508
pubmed: 20860847
Am J Clin Oncol. 2011 Oct;34(5):529-36
pubmed: 20838323
Psychooncology. 2011 Mar;20(3):260-8
pubmed: 20238306
Radiother Oncol. 2011 Aug;100(2):282-8
pubmed: 21367477
Int J Radiat Oncol Biol Phys. 2020 Aug 1;107(5):943-948
pubmed: 32334033
Breast Cancer Res Treat. 2002 May;73(2):127-34
pubmed: 12088115
J Am Acad Dermatol. 2019 Mar 13;:
pubmed: 30878566
Lancet Oncol. 2010 Mar;11(3):231-40
pubmed: 20138809

Auteurs

Kai J Borm (KJ)

Department of Radiation Oncology, Klinikum Rechts der Isar, Medical School, Technical University Munich, 81675 Munich, Germany.

Johanne Kleine Vennekate (J)

Department of Radiation Oncology, Klinikum Rechts der Isar, Medical School, Technical University Munich, 81675 Munich, Germany.

Jan Vagedes (J)

ARCIM Institute (Academic Research in Complementary and Integrative Medicine), 70794 Filderstadt, Germany.
Department of Neonatology, University Children's Hospital Tubingen, 72016 Tubingen, Germany.

Mohammad O A Islam (MOA)

ARCIM Institute (Academic Research in Complementary and Integrative Medicine), 70794 Filderstadt, Germany.

Marciana N Duma (MN)

Department of Radiation Oncology, Klinikum Rechts der Isar, Medical School, Technical University Munich, 81675 Munich, Germany.

Maximilian Loos (M)

Department of Radiation Oncology, Klinikum Rechts der Isar, Medical School, Technical University Munich, 81675 Munich, Germany.

Stephanie E Combs (SE)

Department of Radiation Oncology, Klinikum Rechts der Isar, Medical School, Technical University Munich, 81675 Munich, Germany.
Deutsches Konsortium für Translationale Krebsforschung (DKTK)-Partner Site Munich, 81675 Munich, Germany.
Helmholtzzentrum München, Institute of Radiation Medicine, 85764 Neuherberg, Germany.

Kilian Schiller (K)

Department of Radiation Oncology, Klinikum Rechts der Isar, Medical School, Technical University Munich, 81675 Munich, Germany.

Sophie Klusen (S)

Department of Radiation Oncology, Klinikum Rechts der Isar, Medical School, Technical University Munich, 81675 Munich, Germany.

Stefan Paepke (S)

Department of Gynecology and Obstetrics, Technical University of Munich (TUM), Ismaninger Strasse 22, 81675 Munich, Germany.

Marion B Kiechle (MB)

Department of Gynecology and Obstetrics, Technical University of Munich (TUM), Ismaninger Strasse 22, 81675 Munich, Germany.

Daniela Paepke (D)

Department of Gynecology and Obstetrics, Technical University of Munich (TUM), Ismaninger Strasse 22, 81675 Munich, Germany.

Classifications MeSH