Is prone position a safe option for organ at risk doses in breast radiotherapy? Case report and literature review


Öz S., Sabah A., Kılınç I. A., Başçik O., Babayiğit Y., Çontu B. B., ...Daha Fazla

Practical Oncology, cilt.6, sa.2, ss.22-30, 2024 (Hakemli Dergi)

  • Yayın Türü: Makale / Derleme
  • Cilt numarası: 6 Sayı: 2
  • Basım Tarihi: 2024
  • Doi Numarası: 10.22141/2663-3272.6.2.2023.90
  • Dergi Adı: Practical Oncology
  • Derginin Tarandığı İndeksler: Other Indexes
  • Sayfa Sayıları: ss.22-30
  • Ankara Üniversitesi Adresli: Evet

Özet

Adjuvant radiotherapy is essential for breast cancer patients, but its long-term complications are an issue, especially for heart and lungs. We reported a 77-year-old female patient diagnosed with breast cancer and treated with breast-conserving surgery and adjuvant radiotherapy. Patient has large, pendulous breast tissue and she was simulated on either supine or prone positions. A prone mechanism was created by us using styrofoams and abdominal prone bed because we don’t have breast prone bed in our clinic. Radiotherapy in prone position resulted in a better heart and lung dosimetry without any compromising coverage.In conclusion, radiotherapy in prone position is an effective method for breast cancer patients. So, which position and method will be preferred, should be evaluated case by case.