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Current Breast Cancer Reports
Erschienen in: Current Breast Cancer Reports 3/2023

05.08.2023

Postmastectomy Radiation Modalities (Protons, Chest Wall Boost, Skin Bolus, Fractionation, and Timing) and Breast Reconstruction Complications: The Role of Radiation Oncologist

verfasst von: George E. Naoum, Alphonse G. Taghian

Erschienen in: Current Breast Cancer Reports | Ausgabe 3/2023

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Abstract

Purpose of Review

Integrating postmastectomy radiotherapy (PMRT) and breast reconstruction remains a multidisciplinary clinical challenge. While PMRT improves tumor outcomes in patients with locally advanced breast cancers, it increases breast reconstruction complications. Therefore, understanding the nuances of different surgical and PMRT techniques and their dynamic interaction is crucial to overcome such challenge.

Recent Findings

Introduction of new reconstruction techniques including single-stage implant reconstruction, different types of surgical mesh and pre-pectoral implants placement, allowed different approaches for the caregivers and patients. In parallel to this surgical progress, there were PMRT advances such as intensity-modulated radiotherapy (IMRT), protons, different types of skin bolus, and more knowledge about usage of chest wall boost.

Summary

In this review article, we discuss the different surgical and PMRT advances through a comprehensive literature review. We also discuss personalized approach to this problem using machine learning nomograms and risk score calculators.
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Metadaten
Titel
Postmastectomy Radiation Modalities (Protons, Chest Wall Boost, Skin Bolus, Fractionation, and Timing) and Breast Reconstruction Complications: The Role of Radiation Oncologist
verfasst von
George E. Naoum
Alphonse G. Taghian
Publikationsdatum
05.08.2023
Verlag
Springer US
Erschienen in
Current Breast Cancer Reports / Ausgabe 3/2023
Print ISSN: 1943-4588
Elektronische ISSN: 1943-4596
DOI
https://doi.org/10.1007/s12609-023-00505-2

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