Adjuvant radiation treatment of the surgical bed in breast cancer: who, when and how to do it
A narrative review
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Copyright (c) 2022 Santiago Roldán, Karol Guzmán, Marcelo Torres, Milexys Rivero, Leandro Ricagni, Federico Lorenzo
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
DOI:
https://doi.org/10.33821/665Keywords:
Radiotherapy, Adjuvant, Breast Neoplasms, Inflammatory Breast NeoplasmsAbstract
Introduction: Currently, there are discrepancies regarding the indication, dose, technique, and contouring of the super impression or increase in irradiation dose on the surgical bed in adjuvant treatment in breast cancer.
Purpose of the review: The objective is to present evidence on superimposing the surgical bed to treat breast cancer. We conducted a bibliographic review in MEDLINE PubMed; 61 studies published between January 2000 and January 2022 were analyzed.
Recent findings: Superimpression of the surgical bed in the breast improves local control in patients with high-risk elements. The different techniques available are oncologically equivalent, and the surgical clips should guide the delineation of the treatment target.
Conclusions: The indication of this treatment must be evaluated by radiotherapy oncology services, defining their protocols and action algorithms.
