Журнал «Практическая онкология» Том 6, №2, 2023
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Чи є положення лежачи на животі безпечним для органів ризику при променевій терапії молочної залози? Клінічний випадок та огляд літератури
Авторы: Sumeyra Oz, Aslı Sabah, Ilyas Anıl Kılınc, Oguzhan Bascik, Yunus Babayigit, Burak Baturalp Contu, Ipek Sucak, Yasemin Celik, Cengiz Kurtman
Ankara University Medical Faculty, Department of Radiation Oncology, Ankara, Turkey
Рубрики: Онкология
Разделы: Справочник специалиста
Версия для печати
Резюме
Ад’ювантна променева терапія є важливою у хворих на рак молочної залози, однак її довгострокові ускладнення є проблемою, особливо для серця та легенів. Описано випадок раку в 77-річної пацієнтки, якій виконано операцію зі збереження грудей та ад’ювантну променеву терапію. Жінка мала великі відвислі тканини молочної залози, тому комп’ютерну томографію проведено в положенні лежачи на животі або на спині. Оскільки в нашій клініці не було спеціального пристрою, за допомогою блоків із пінополістиролу та ліжка з нахилом ми розробили механізм для проведення радіотерапії в положенні пацієнтки лежачи на животі. Завдяки цьому знижується променеве навантаження на серце та легені, без шкоди для зони охоплення. Таким чином, радіотерапія в положенні лежачи є ефективним методом у пацієнток із раком молочної залози, тому в кожному випадку слід оцінювати, яким положенню та методу буде віддано перевагу.
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.
Ключевые слова
молочна залоза; новоутворення молочної залози; променева терапія; положення лежачи на животі
breast; breast neoplasms; radiotherapy; prone position
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