Clipping de mama cirúrgico para delimitação de dose radioterápica no câncer de mama
Palavras-chave:
Câncer de mama, instrumentos cirúrgicos, radioterapiaResumo
Objetivo: Avaliar o benefício do planejamento radioterápico, envolvendo o uso de clipes cirúrgicos em tratamento conservador de estágio inicial de câncer de mama. Métodos: coorte retrospectiva. Doze (12) pacientes do sexo feminino com câncer de mama foram avaliadas retrospectivamente. Estas mulheres foram submetidas a tratamento conservador da mama em que o leito do tumor foi demarcado com grampos cirúrgicos de titânio 200 para orientar a radioterapia de mama. Os volumes foram calculados. O planejamento de radioterapia no mesmo paciente com dose de reforço guiada por clipes metálicos foi comparado ao planejamento guiado por cicatriz cirúrgica ou por exames de imagem antes do tratamento cirúrgico. Resultados: Foram observadas uma redução de 36,7% no volume total da mama irradiada (p = 0,022), uma redução de 55,7% no volume do reforço (p = 0,001), uma redução de 35,9% (p = 0,001) no volume mamário recebendo a dose de reforço prescrita e uma redução de 4,5% (p = 0,014) na dose máxima aplicada ao pulmão. Conclusões: A colocação do clipe no leito cirúrgico após tratamento conservador para câncer de mama determinou uma redução de 36,7% no volume mamário irradiado e o uso de menor dose de irradiação.
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Copyright (c) 2018 Jailson Rodrigues Mendes, Diego de Carvalho Silva, Taíla Sousa de Moura Fé, Antônio Marques de Medeiros Neto, Walberto Monteiro Neiva Eulálio Filho, Sabas Carlos Vieira
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
