Tumor bed-to-skin distance using accelerated partial-breast irradiation with the strut-adjusted volume implant device.
Publication/Presentation Date
1-1-2012
Abstract
PURPOSE: Because of the risk of skin toxicity with single dwell position, single-lumen brachytherapy devices are sometimes contraindicated for tumor cavities 5-7mm from the skin surface. We discuss the use of multicatheter device to treat patients with tumor bed-to-skin distances <7mm.
METHODS AND MATERIALS: We treated 117 patients with accelerated partial-breast irradiation brachytherapy: 77 single-lumen and 40 multicatheter devices. A subset of 12 patients treated with SAVI(®) had bed-to-skin spacing
RESULTS: Of the patients treated with the multicatheter device, 0% (0/12) had their device pulled. At 2 weeks after treatment, fewer than 50% of the patients had skin toxicities of Grades 1-2, all of which resolved by 6 months. The cosmetic outcome was good to excellent at followup.
CONCLUSIONS: Multicatheter devices permit well-tolerated accelerated partial-breast irradiation in patients with tumor cavities near the skin surface for which the single-lumen device may not be appropriate.
Volume
11
Issue
5
First Page
387
Last Page
391
ISSN
1873-1449
Published In/Presented At
Fisher, B., Daugherty, L., Shaikh, T., Reiff, J., Perlingiero, D., Alite, F., Brady, L., & Komarnicky, L. (2012). Tumor bed-to-skin distance using accelerated partial-breast irradiation with the strut-adjusted volume implant device. Brachytherapy, 11(5), 387–391. https://doi.org/10.1016/j.brachy.2011.09.009
Disciplines
Medicine and Health Sciences
PubMedID
22104353
Department(s)
Fellows and Residents
Document Type
Article