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The Effect of Supraclavicular Lymph Node Irradiation upon the Thyroid Gland in the Post-operative Breast Carcinoma Patients
Yonsei Medical Journal ; : 828-835, 2003.
Artigo em Inglês | WPRIM | ID: wpr-12218
ABSTRACT
To identify the effect of post-operative irradiation to the thyroid gland in patients with breast carcinoma. Seventy seven patients with partial or total mastectomized breast carcinoma who received routine irradiation therapy (Hockey stick

method:

supraclavicular, internal mammary lymph nodes, and chest wall irradiation with 5, 040 rads, divided into 30 treatments) were reviewed in terms of their ipsilateral thyroid gland response. All patients had the bilateral thyroid sizes measured annually by ultrasonography before and after radiation therapy. In the one-year follow-up group (n=77), 32 patients (41.5%) demonstrated decreased ipsilateral thyroid gland size after Hockey Stick irradiation therapy (p=0.428), in the two-year follow-up group (n=37), 26 patients (70.3%) demonstrated decreased gland size after Hockey Stick irradiation (p=0.001), and in the three-year follow-up group (n=21), 15 patients (71.4%) showed a decreased thyroid gland size (p=0.005). Most the patients with breast carcinoma (32/77 at the one-year follow-up, 26/37 at the two-year follow-up, and 15/21 at the three-year follow-up) after post-operative Hockey Stick irradiation therapy showed reduced ipsilateral thyroid gland size. Routine en face treatment of the supraclavicular lymph nodes, using the Hockey Stick method, should be reconsidered.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Radioterapia / Glândula Tireoide / Neoplasias da Mama / Seguimentos / Linfonodos Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Feminino / Humanos Idioma: Inglês Revista: Yonsei Medical Journal Ano de publicação: 2003 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Radioterapia / Glândula Tireoide / Neoplasias da Mama / Seguimentos / Linfonodos Tipo de estudo: Estudo observacional / Estudo prognóstico Limite: Feminino / Humanos Idioma: Inglês Revista: Yonsei Medical Journal Ano de publicação: 2003 Tipo de documento: Artigo