Mesh : Aged Antimetabolites, Antineoplastic / administration & dosage therapeutic use Breast Neoplasms / radiotherapy surgery therapy Capecitabine Carcinoma, Ductal, Breast / radiotherapy therapy Chemoradiotherapy Combined Modality Therapy Deoxycytidine / administration & dosage analogs & derivatives therapeutic use Disease Progression Female Fluorouracil / administration & dosage analogs & derivatives therapeutic use Humans Lymphatic Irradiation Mastectomy, Segmental Neoplasm Recurrence, Local / therapy Skin Neoplasms / therapy

来  源:   DOI:10.1016/j.canrad.2012.08.002   PDF(Sci-hub)

Abstract:
In early-stage breast cancer, radiotherapy delivered after conservative surgery leads to a reduction in the risk of local recurrences by approximately two thirds. However, some local recurrences can occur in a previously irradiated region and be relevant for a second radiotherapy, exposing to an increased risk of adverse effects. We describe here the observation of a 66-year-old woman treated for a triple negative ductal infiltrative carcinoma of the left breast, who presented an early locoregional recurrence, notably as skin nodules, developed within the irradiated volume and progressing on chemotherapy. The patient was treated by re-irradiation performed concomitantly to oral chemotherapy by capecitabine.
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