مقارنة الجرعة التي تستلمها الرئة من الاشعاع المستخدم في علاج سرطان الثدي حسب اختلاف نوع العملية الجراحية المستخدمة في مرضى مركز بغداد للعلاج الشعاعي : دراسة وصفية == Comparative study of lung radiation dose with different types of surgery in breast cancer patients in Baghdad radiotherapy center descriptive study)
Author name:
يحيى علي دشر
Supervisor name:
خضير جاسم صبيح الرواق
General topic:
Medicine
Specific topic:
Therapeutic Radiology
Degree:
Higher Diploma
University:
University of Baghdad - Faculty Of Medicine
Language:
English
University location:
Baghdad
First pages:
19T1606 - p.pdf
Abstract:
Background : Breast cancer is a complex , multifactorial disease that have different treatment approaches. Adjuvant radiation therapy is an important locoregional management , however it has many drawbacks and side effects on the adjacent organs including lung , heart and others .Objective : To compare the mean lung dose between breast conserving surgery and mastectomy, and their different radiation doses .Patients & Methods : This is a cross - sectional descriptive comparative study that was conducted in Baghdad Radiotherapy Center , carried on 174 patients, their ages range from 18 to 77 year old, all of them treated by mastectomy or breast conserving surgery, and radiotherapy offered for them with or without axillary irradiation.Results : The highest Mean Lung Dose seen in patients with Breast Conserving Surgery received 5000 cGy to chest and lymphatics (1483 cGy ± SD 133 ) followed by those with Modified Radical Mastectomy received 4005 cGy to chest wall and lymphatics (1285 cGy ± SD 138 ); there is a statistically significant difference (P = <0.001).Conclusions : The highest Mean Lung Dose seen in patients receiving higher radiotherapy dose regardless of type of surgery. There is Significant correlation between the mean lung dose and the lymphatic irradiation P - value > 0.001
