FIELD: medicine.
SUBSTANCE: invention relates to medicine, oncology. Method includes carrying out resection of mammary gland and radiotherapy. After performing resection intraoperational radiotherapy (IORT) is carried out on tumor bed in dose 10 Gy. For this purpose field of irradiation is formed, lower wound edges are tightened with ligatures. After that betatron collimator, whose size corresponds to size of resection, is installed into wound. Upper wound edges are fixed to lower part of collimator in such way that skin and adjacent to it subcutaneous cellular tissue do not get into irradiation zone. Irradiation is performed. After that, axillary lymphadenectomy is carried out. Wound is sutured leaving drainage in axillary region. 2-4 weeks after operation remote gamma-therapy (RGT) is carried out with standard fractionation regimen. Number of RGT sessions is determined by formula: N = 12.6(2.4 -Xu -0.169), where N is necessary number of RGT sessions; Xu - time interval in days between IORT and RGT.
EFFECT: method reduces number of complications, ensures achievement of cosmetic result due to reduction of risk of fibrosis development.
2 ex, 5 dwg
Title | Year | Author | Number |
---|---|---|---|
METHOD OF MAMMARY GLAND CANCER TREATMENT | 2007 |
|
RU2349264C1 |
COMBINED METHOD FOR TREATING LOCALLY DISSEMINATED FORMS OF THYROID GLAND CARCINOMA AND ITS RECURRENCES | 2004 |
|
RU2271236C2 |
METHOD OF ORGAN-PRESERVING TREATMENT OF LOCALIZED BREAST CANCER | 2017 |
|
RU2664191C1 |
METHOD FOR COMBINED TREATMENT OF UTERINE CANCER Ib-IIa STAGE | 2005 |
|
RU2322275C2 |
METHOD FOR COMBINED THERAPY IN CASE OF THE CANCER OF MOUTH CAVITY FUNDUS | 2000 |
|
RU2192290C2 |
MARKING PROCEDURE FOR INTRAOPERATIVE RADIATION THERAPY TARGET WITHIN COMBINED TREATMENT OF LUNG CANCER OF TH | 2007 |
|
RU2348357C1 |
METHOD OF COMBINED TREATMENT OF PATIENTS WITH LOCALLY SPREAD RESECTABLE ESOPHAGEAL CANCER | 2009 |
|
RU2419391C1 |
METHOD FOR COMBINATION TREATMENT OF LOCALLY DISSEMINATED FORMS OF CANCER OF MAXILLARY SINUS | 1996 |
|
RU2153906C2 |
METHOD FOR LOCAL RECURRENCE PREVENTION IN PATIENTS SUFFERING LOCALLY ADVANCED BREAST CANCER TNM WITH UNFAVOURABLE PROGNOSTICS | 2010 |
|
RU2444386C1 |
METHOD OF COMBINED TREATMENT OF LOCALLY ADVANCED FORMS OF CANCER OF NASAL CAVITY AND PARANASAL SINUSES WITH USE OF LOCAL HYPERTHERMIA | 2017 |
|
RU2663155C1 |
Authors
Dates
2009-11-20—Published
2007-07-30—Filed