Modified Radical Mastectomy for Contralateral Breast Cancer

Modified Radical Mastectomy for contralateral Breast CancerAbstractBreast cancer is the most common malevolence in women worldwide. With improve survival figures and early breast cancer detection, treatment related long term adverse effects of radi new(prenominal)apy have become a concern. Contralateral breast cancer collectable to scatter radiation from during radiotherapy of diseased breast is one of them. This prospective clinical study was conducted to measure the treat receive by the contralateral breast and compare the different techniques which influence this window pane. It was found that in post mastectomy patients, treatment with telecobalt medial tangential guinea pig contri thate more back breaker to contralateral breast compared to supraclavicular cogitation and lateral tangential palm. The mean panelling received by contralateral breast during irradiation of chest border was 168.29 cGy which 3.36 percentage of the prescribed dose.Key Words contralateral b reast dose, breast malevolence, thermoluminescent disc, scattered radiationIntroductionBreast cancer is the most common malignancy among the women worldwide. 1 With improved survival figures due to early breast cancer detection and multimodality treatment, long term adverse effects in the form of second malignancy of contralateral breast (CLB) has become a concern. In patients getting radiotherapy to the affected breast, CLB also receives radiation in the form of scattered radiation due to scattered from primary. Second malignancy is a late sequel of radiation appearing at an interval of 10-15 years. 2, 3, 4, 5, 6, 7 Since breast is highly radiosensitive structure this dose to CLB is a major concern especially in younger women and patients with longer life expectancy. Although radiation induced malignancy is a stochastic effect but the intensity increases running(a)ly with increase in dose. 8 Studies have measurable CLB dose on phantom and patients and have observed that the dose to CLB is more for medial tangential (MT) than supraclavicular field (SCL) field and lateral tangential (LT) field. In our centre 22% of female patients are suffering from breast cancer and majority of them belong to depressed socio economic status and presented with advanced disease. In the present study we measure the dose to CLB in patients receiving radiotherapy following modified radical mastectomy (MRM). The radiation dose to CLB were measured with the help of CaSO4 Dy thermoluminescent discs (TLD). The TLD are highly sensitivity and can measure even very small doses.Materials and methodsMeasurement of CLB was done in 25 patients undergoing for EBRT by cobalt teletherapy machine (THERATRON 780 C and E) following MRM. Precalibrated TLD (9mm13mm) were placed on the surface of CLB. Total three discs were placed one at the nipple and other vertically on either side of nipple 3 cm apart. We tried our best to place the TLD on the same position each time. tegument tattooing was do ne to demarcate the exact position at the first sitting and this was used subsequently to replicate the position. After delivery of radiation dose for a particular field the discs were removed and another set of three discs were placed for next reading. In this way come in six discs were used daily, three for SCL field and three for MT or LT field as MT and LT fields were hardened on alternate days and SCL field was treated daily. For MT and LT fields breast cone was used for half beam block. Total dose delivered was 50 Gy in 25 fractions, 2 Gy per fraction, 5 fractions per week in 5 weeks. The exposed TLD were stored in radiation free zone and the readings were taken after 24 hours and within 7 days after photo because after cardinal days the TLD start to loose electrons. The scattered dose received by TLD were measured on NUCLEONIX TL ascorbic acid91 TLD reader. After one set of measurement, the discs were annealed by thawing 400 distributor point celcius and then used for n ext measurement. For each patient, measurements were carried forbidden at first week, third week and last week, total three generation during the course of treatment.Statistical AnalysisMean dose calculation received by CLB.Total dose received by CLB, this was compute by extension of mean dose to number of fractions.The percentage of radiation dose received by CLB with respect to the prescribed dose to diseased breast (Total dose 100 / prescribed dose to diseased breast).We also stratified data based on gantry angle at which EBRT was delivered (50 degree and 50 degree).The statistical software SPSS version 20.0 was used for the data analysis.ResultsThe age wise distribution of patients and the mean dose received by CLB is shown in table 1. 19 out of 25 patients in our study were 50 years or younger. 52% patients had left sided breast cancer. Table 2 shows the contribution of SCL, MT and LT field dose with the gantry angle at which the radiation dose was delivered. Total dose re ceived by CLB varies from 1.22% to 5.82% of the prescribed dose of 50 Gy to the affected breast. Mean total dose received by CLB was 105.55 cGy with MT field followed by SCL field, (33.96 cGy) and LT field (28.97 cGy) as shown in table 2. This data shows that the maximum contribution of dose to CLB was with MT field followed by SCL field and LT field. Mean dose with all three fields received by CLB was 168.48 cGy with SD 62.23 which corresponds to 3.36% of prescribed dose to affected breast. 11 patients were treated on cobalt unit with gantry angle 50 degree having 3.00% contribution of CLB dose (table 3). 14 patients treated with gantry angle 50 degree had 3.79% contribution of CLB dose (p=0.199). The mean, median and range were 3.66, 3.34 and 4.60 respectively.DiscussionIt is well known that exposure to ionizing radiation causes carcinogenesis in healthy tissues. Although it is a stochastic effect having no threshold dose but the intensity increases with increase in radiation do se. CLB must be considered as an organ at risk during radiotherapy preparedness for treatment of cancer breast. Many previous studies conducted to calculate the dose received by CLB, were based on patients, phantom or treatment planning system.Boice et al analyzed the record of 41109 patients of cancer breast and they found the mean CLB dose was 2.82 Gy. 9 They also hypothesized that there was increased relative risk of CLB malignancy due to exposure to ionization given to diseased breast. The relative risk was 1.19 for all patients, however the relative risk was more (1.49) for younger patients who were less than 45 years old. In our study, the maximum dose received by CLB in women below 40 years which was 3.93 percentage (196.437 cGy) of prescribed dose. The minimal dose was received in patients who were to a higher(prenominal) place 60 years of age (1.96 %) (97.875 cGy). The possible reason could be the increased laxity of breast tissues in older women cause more lateral fault of CLB away from the radiation at the time of exposure.Half beam block technique is routinely used while irradiating the breast with tangential beams. 10, 11 Kelly et al measured CLB dose on Alderson Rando phantom using TLD with four different techniques of breast cancer treatment using 6 MV photon beam on linear accelerator. 12 The used half beam block with asymmetrical jaws, custom blocks and symmetrical collimator jaw. Another technique used was isocentric method with non divergent posterior border. They observed highest dose to CLB in MT field with wedge. In our study radiation was delivered using half beam block with breast cone. The dose to CLB was maximum with MT field because in half block beam, the breast cone is placed near to surface of breast which cause increased dose due to secondary collimator scattering.Bhatnagar et al compared dose to CLB during EBRT to chest wall irradiation using conventional tangential technique and intensity modulated radiotherapy (IMRT). 13 Th ey observed 20 percentage drop-off of dose to CLB using IMRT.According to a study by Chougule, the average contralateral nipple dose was 152.5-254.75 cGy and the percentage was 3.05-6.05% for a dose of 5000 cGy in 25 fractions for post mastectomy breast cancer. 14 In our study, the measured mean contralateral nipple dose on was 171.88 cGy (55.5-303.80 cGy) which accounts to 3.47% (1.11%-6.07%) of prescribed dose (table 2). Dose to CLB were higher for dose calculated at the level of nipple as compared to dose received by whole CLB. This may be due to TLD at level of nipple being closest to the radiation source. According to Rankel et al with high gantry angle the beam will be closer to the surface leading higher dose to the CLB. 15 In this study, it was found that with gantry angle 50, more dose was delivered to the CLB though the difference is not statistically significant (p=0.199).ConclusionIn our patient cohort, higher inadvertent CLB dose was delivered in younger patients with MT field overall, dose being 3.36 percentage of prescribed dose.