Evidence map›Paper›PMID 30875061›Full record

ArticleClinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico2019

Skin and lung toxicity in synchronous bilateral breast cancer treated with volumetric-modulated arc radiotherapy: a mono-institutional experience.

M Valli, S Cima, D Gaudino, R Cartolari, L Deantonio, M Frapolli, D Daniele, G A Pesce, F Martucci, N C Azinwi and 3 more

Abstract read
PubMed Publisher
In one paragraph

Article in Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
0.5field-weighted citation impact, top 41% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed, 10 citations in OpenAlex.

  1. Hypofractionated and conventionally fractionated radiotherapy for synchronous bilateral breast cancer: clinical and dosimetric outcomes.Strahlentherapie und Onkologie : Organ der Deutschen Rontgengesellschaft ... [et al] · 2026
    Article
  2. Article
  3. Review
  4. Article
  5. Synchronous bilateral breast cancer treated with a 3-week hypofractionated radiotherapy schedule: clinical and dosimetric outcomes.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2021
    Observational
  6. Hypofractionated volumetric modulated arc therapy (VMAT) for fragile patients with oesophageal cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2020
    Article
  7. Article
  8. Article
  9. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors at 2 institutions in 1 country.

M ValliRadiation Oncology Clinic, Oncology Institute of Southern Switzerland, Bellinzona-Lugano, Via Ospedale, 6500, Bellinzona, Switzerland. mariacarla.valli@eoc.ch.ORCID http://orcid.org/0000-0002-7880-4645
S CimaRadiation Oncology Clinic, Oncology Institute of Southern Switzerland, Bellinzona-Lugano, Via Ospedale, 6500, Bellinzona, Switzerland.
D GaudinoMedical Physics Service, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.
R CartolariRadiology Service, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.
L DeantonioRadiation Oncology Clinic, Oncology Institute of Southern Switzerland, Bellinzona-Lugano, Via Ospedale, 6500, Bellinzona, Switzerland.
M FrapolliRadiation Oncology Clinic, Oncology Institute of Southern Switzerland, Bellinzona-Lugano, Via Ospedale, 6500, Bellinzona, Switzerland.
D DanieleRadiation Oncology Clinic, Oncology Institute of Southern Switzerland, Bellinzona-Lugano, Via Ospedale, 6500, Bellinzona, Switzerland.
G A PesceRadiation Oncology Clinic, Oncology Institute of Southern Switzerland, Bellinzona-Lugano, Via Ospedale, 6500, Bellinzona, Switzerland.
F MartucciRadiation Oncology Clinic, Oncology Institute of Southern Switzerland, Bellinzona-Lugano, Via Ospedale, 6500, Bellinzona, Switzerland.
N C AzinwiRadiation Oncology Clinic, Oncology Institute of Southern Switzerland, Bellinzona-Lugano, Via Ospedale, 6500, Bellinzona, Switzerland.
D BosettiRadiation Oncology Clinic, Oncology Institute of Southern Switzerland, Bellinzona-Lugano, Via Ospedale, 6500, Bellinzona, Switzerland.
S PresillaMedical Physics Service, Ente Ospedaliero Cantonale, Bellinzona, Switzerland.
A RichettiRadiation Oncology Clinic, Oncology Institute of Southern Switzerland, Bellinzona-Lugano, Via Ospedale, 6500, Bellinzona, Switzerland.
Institute of Oncology Research · CHEnte Ospedaliero Cantonale · CH

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo evaluate acute and late skin/subcutaneous toxicities and radiation-induced lung fibrosis (RILF) in patients treated with adjuvant radiotherapy (RT) for synchronous bilateral breast cancers (SBBC), after conservative surgery. METHODS/PATIENTS: Twenty-five patients were treated with volumetric-modulated arc therapy (VMAT/RapidArc

resultsWe registered acute Grade-1 skin toxicity in 18 patients (72%), while six patients (24%) experienced Grade-2 toxicity. No breath symptoms were reported during and after RT. Late Grade-1 subcutaneous toxicity and late Grade-2 skin toxicity were registered in four patients (16%) and one patient (4%), respectively, at a mean follow-up of 36 months. Grade-1 RILF was detected in six patients (30%). The median volume of fibrosis area was 6.5 cc (range 1.3-21.5 cc). The partial volumes receiving a specified dose (V20, V30, V40, and V50) in patients who developed lung fibrosis were significantly bigger than who did not (p < 0.01). We showed that the mean volume of the tumour boost of patients who developed fibrosis (77.7 cc) was not significantly different from the other patients (90.8 cc) (p = 0.5).

conclusionThe clinical impact of this technique is favourable, and this is the first clinical study showing RILF by HRCT in a setting of SBBC. Further study with larger accrual is mandatory.

Indexed as

AdultAgedAged, 80 and overBreast NeoplasmsFeasibility StudiesFemaleHumansLungMiddle AgedNeoplasms, Multiple PrimaryOrgans at RiskRadiation PneumonitisRadiotherapy, AdjuvantRadiotherapy, Intensity-ModulatedRadiotherapy Planning, Computer-AssistedRetrospective StudiesRadiation-induced lung fibrosisSynchronous bilateral breast cancerVolumetric-modulated arc therapy

Identifiers

PMID30875061
OpenAlexW2920848545

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.