%0 Journal Article
%T Whole-brain radiation therapy plus simultaneous integrated boost for brain metastases from breast cancers.
%A Zhang H
%A Wu Q
%A Li L
%A Wang L
%A Zhong Y
%J PeerJ
%V 12
%N 0
%D 2024
%M 39011372
%F 3.061
%R 10.7717/peerj.17696
%X <B>UNASSIGNED: </B>The effect of whole-brain radiation therapy (WBRT) plus simultaneous integrated boost (SIB) in brain metastasis from breast cancers has not been demonstrated.<BR><B>UNASSIGNED: </B>In this single-center retrospective study, we reviewed consecutive breast cancer patients who developed brain metastasis and were treated with hypofractionated radiation therapy plus WBRT using intensity-modulated radiation therapy (IMRT)-SIB approaches. We analyzed clinical outcomes, prognostic factors and patterns of treatment failure.<BR><B>UNASSIGNED: </B>A total of 27 patients were eligible for analysis. Four (14.8%) patients achieved clinical complete response and 14 (51.9%) had partial response of brain lesions. The other nine patients were not evaluated for brain tumor response. The median brain progression-free survival was 8.60 (95% CI [6.43-13.33]) months and the median overall survival was 16.8 (95% CI [13.3-27.7]) months. Three patients had in-field failure, five had out-field failure and two had in-field and out-field failure.<BR><B>UNASSIGNED: </B>WBRT plus SIB led to improved tumor control and clinical outcome in breast cancer patients with brain metastasis.