Shoulder girdle impairment in breast cancer survivors: the role of range of motion as predictive factor for dose distribution and clinical outcome

Francesco Landi, Gianluca Franceschini, Riccardo Masetti, Vincenzo Valentini, Fabio Marazzi, Luca Boldrini, Stefano Luzi, Paola Emilia Ferrara, Eugenia Amabile, Danila Piccari, Francesca Moschella, Giovanna Mantini, Daniela Smaniotto

Risultato della ricerca: Contributo in rivistaArticolo in rivista

3 Citazioni (Scopus)

Abstract

Pain and functional impairment of the ipsilateral shoulder girdle in patients who underwent surgery and radiotherapy for breast cancer (BC) is a late complication reported in the literature. We analyze a correlation with dosimetric parameters and propose an algorithm for sparing strategies. A total of 111 patients treated for BC were included in this observational analysis during follow-up protocol visits. Exclusion criteria were the presence of moderate or severe arthrosis history and/or rheumatologic diseases. All the patients had complete physical and multidimensional examinations during joint (physiatrist and radiotherapy oncology) follow-up visits. A scapula-humeral articulation (SHA) standardized contouring was performed retrospectively on Eclipse® treatment plans. A possible correlation between patients' characteristics, radiotherapy, and dosimetry analysis and functional impairment was investigated at statistical analysis. Results of analysis were summarized into a proposal of algorithm for sparing SHA.
Lingua originaleEnglish
pagine (da-a)319-330
Numero di pagine12
RivistaTumori
Volume105
DOI
Stato di pubblicazionePubblicato - 2019

Keywords

  • Breast cancer
  • DASH score
  • late complication
  • shoulder impairment

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