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Editorial
. 2017 May 20;35(15):1633-1635.
doi: 10.1200/JCO.2017.72.2660. Epub 2017 Mar 20.

Effects of Smoking on Late Toxicity From Breast Radiation

Simona F Shaitelman  1 , Rebecca M Howell  1 , Benjamin D Smith  1
Affiliations
Editorial

Effects of Smoking on Late Toxicity From Breast Radiation

Simona F Shaitelman et al. J Clin Oncol. .
No abstract available

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Figures

Figure 1
Figure 1
This is a 44 year old woman with a 27 pack-year smoking history who presented with a pT1c N0 (i+, sn) invasive ductal carcinoma of the upper outer quadrant of the left breast, intermediate grade, ER+, PR+, HER2−. She underwent margin-negative breast conserving surgery with sentinel node biopsy. Oncotype DX score was 9. She was treated with 40 Gy in 15 fractions in the prone position followed by a 10 Gy in 5 fraction boost in the lateral decubitus position. Prone positioning with judicious tangent beam placement was utilized to achieve a mean heart dose of 0.6 Gy and a mean total lung dose of 0.2 Gy. A – parasagittal slice of the radiation treatment plan, B – axial slice of radiation treatment plan. Tumor bed clips are show in red. Isodose lines are as follows: 106% - blue; 100% - red; 98% - purple; 90% - yellow; 50% - green.
Figure 1
Figure 1
This is a 44 year old woman with a 27 pack-year smoking history who presented with a pT1c N0 (i+, sn) invasive ductal carcinoma of the upper outer quadrant of the left breast, intermediate grade, ER+, PR+, HER2−. She underwent margin-negative breast conserving surgery with sentinel node biopsy. Oncotype DX score was 9. She was treated with 40 Gy in 15 fractions in the prone position followed by a 10 Gy in 5 fraction boost in the lateral decubitus position. Prone positioning with judicious tangent beam placement was utilized to achieve a mean heart dose of 0.6 Gy and a mean total lung dose of 0.2 Gy. A – parasagittal slice of the radiation treatment plan, B – axial slice of radiation treatment plan. Tumor bed clips are show in red. Isodose lines are as follows: 106% - blue; 100% - red; 98% - purple; 90% - yellow; 50% - green.
See this image and copyright information in PMC

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References

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