Radiotherapy as a Conservative Treatment for Breast Cancer

Authors

  • Oscar Rocha von Pfuhl Clínica VON PFUHL. Santos (SP), Brasil
  • Uéber José Miola Clínica VON PFUHL. Santos (SP), Brasil
  • José Carlos Ferraz de Campos Clínica VON PFUHL. Santos (SP), Brasil

DOI:

https://doi.org/10.32635/2176-9745.RBC.1977v27n5.3641

Keywords:

Breast Neoplasms/therapy, Breast Neoplasms/radiotherapy, Conservative Treatment

Abstract

The review of 545 cases of cancer of the breast, 10% of which were treated by exclusive radiotherapy, emphasized the trend towards conservative treatment, because 29,8% of mastectomized women died within two years from the operation with distant metastases. As it is possible with radiotherapy to cause fibrosis or keep inactive breast tumors up to 5 cm diameter for two years or longer, one must consider irradiation as a good option for young women with small tumors. It was used a combination of tangencial radiotherapy up to 5.000 rads to the whole breast with a boost dose two weeks later of 3.000 to 4.000 rads by means of intersticial radiotherapy given only to the palpable tumor.This was fulfilled by the afterloading method according to a System described as geometrization of the breast by parallel plates where holes were drilled for the needies. No recurrence was seen in 4 years in the selected group of 12 patients submitted to the mentioned treatment.

Downloads

Download data is not yet available.

References

ALDERMAN S.J.: Combination of Teletherapy and Iridium Implantation in the Treatment of locally advanced Breast Cancer, CANCER 38: 1936-1938, 1976. DOI: https://doi.org/10.1002/1097-0142(197611)38:5<1936::AID-CNCR2820380512>3.0.CO;2-9

BACLESSE, F.: Is surgery possible following preoperative radiation of cancer of the breast with "curative" dosages of cobalt 60? Early results, STRAHLENTHERAPIE, 131: 15-20, September, 1966.

BLACK, M.M. and ASIRE, A.J. : Palpable Axiliary Lymph Nodes in Cancer of the Breast: Structural and Biologic Considerations, CANCER 23: 251-259, Fev 1969. DOI: https://doi.org/10.1002/1097-0142(196902)23:2<251::AID-CNCR2820230202>3.0.CO;2-B

CALLE, R., FLETCHER, G.H. and PIERQUIN, B. : The Bases of Curative Radiotherapy in Adenocarcinoma of the Breast, J. Radiol. Electrol. Med. Nucl., 54: 929-938, 1973.

FLETCHER, G.: Text Book of Radiotherapy, Lea & Febiger, Philadelphia, 1973.

FLETCHER, G.H., MONTAGUE, E.D. and WHITE, E.C.: Evaluation of Irradiation of Peripheral Lymphatics in Conjunction with Radical Mastectomy for Cancer of the Breast, CANCER 21: 791-797, May 1968. DOI: https://doi.org/10.1002/1097-0142(196805)21:5<791::AID-CNCR2820210502>3.0.CO;2-L

GALLAGER, H.S. and MARTIN, J.E.: Early Phases in Development of Breast Cancer, CANCER 24: 1170-1178, 1969. DOI: https://doi.org/10.1002/1097-0142(196912)24:6<1170::AID-CNCR2820240615>3.0.CO;2-6

GLASSE, O., QUIMBY, E.H., TAYLOR, L.S. and WEATHERWAX, J.L., Physical Foundations of Radiology (Chapter XVI), Paul Hoeber, New York, 1952.

HALNAN, K.E.: Recent Advances in Cancer and Radiotherapeutics, Churchill Livingstone, Edinburg and London, 1972.

HENSCHKE, U.K., HILARIS, B.S. and MAHAN, G.D. : Afterloading in intersticial and intracavitary radiation therapy, Am. J. Roentgenl., Rad. Therapy and Nuclear Med., 90: 386, 1963.

HEUSON, J.C., MATTHEIEM, W.H. and ROSENCWEIG, M.: Breast Cancer: Trends in Research and Treatment, Raven Press, New York, 1976.

MEREDITH, W.J., Editor. Radium Dosage: The Manchester System. E.& S. Livingstone, Edinburg, 1947.

QUIMBY, E.H.: Dosage table for linear radium sources, RADIOLOGY, 43: 572-577, 1944. DOI: https://doi.org/10.1148/43.6.572

YÜUNG, M.E.J. and BATHO, H.F.: Dose tables for linear radium sources calculated by an electronic Computer, Brit. J. Radiol., 37: 38, 1964. DOI: https://doi.org/10.1259/0007-1285-37-433-38

Published

2023-08-14

How to Cite

1.
von Pfuhl OR, Miola UJ, Campos JCF de. Radiotherapy as a Conservative Treatment for Breast Cancer. Rev. Bras. Cancerol. [Internet]. 2023 Aug. 14 [cited 2024 Nov. 23];27(5):5-12. Available from: https://rbc.inca.gov.br/index.php/revista/article/view/3641

Issue

Section

ORIGINAL ARTICLE

Most read articles by the same author(s)