Intraoperative radiotherapy (IORT) in breast-conserving surgery for cancer involves the administration of radiation to the surgical bed during the procedure. Until now, the available dimensions of the applicator balloons (30–40cc) required a distance >1 cm from the skin plane to avoid skin toxicity. The new 20cc balloon enables us to: expand the indications to areas of difficult skin coverage (eg, inner quadrants, upper quadrants, inframammary fold, etc); perform smaller lumpectomies as less surgical field is required for adaptation, which facilitates subsequent breast remodeling; and reduce treatment application times. As a result, more patients cannow benefit from IORT (Fig. 1)1–3.
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Vol. 101. Núm. 5.
Páginas 374-375 (mayo 2023)
Vol. 101. Núm. 5.
Páginas 374-375 (mayo 2023)
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Intraoperative radiation therapy after breast-conserving surgery. 20cc balloon application
Radioterapia intraoperatoria tras cirugía conservadora de mama. Balón de aplicación de 20cc
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Daniel Aparicio
, Jorge Chóliz Ezquerro, Ernesto Hernando Almud, Carmen Casamayor Franco
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Servicio de Cirugía General y del Aparato Digestivo, Hospital Universitario Miguel Servet, Zaragoza, Spain
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References
[1]
J.R. Oliver Guillén, E. Hernando Almudi, G. Molina Osorio, R. Ibañez Carreras, J.A. Font Gómez, I. Vicente Gómez, et al.
Intraoperative radiotherapy in early breast cancer: observational comparison with whole breast radiotherapy.
Cir Esp., 99 (2021), pp. 132-139
[2]
M.J. Silverstein, M. Epstein, B. Kim, K. Lin, S. Khan, L. Snyder, et al.
Intraoperative Radiation Therapy (IORT): a series of 1000 tumors.
Ann Surg Oncol., 25 (2018), pp. 2987-2993
[3]
M.C. Tom, N. Joshi, F. Vicini, A.J. Chang, T.S. Hong, T.N. Showalter, et al.
The American Brachytherapy Society consensus statement on intraoperative radiation therapy.
Brachytherapy., 18 (2019), pp. 242-257
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