Two-year toxicity of simultaneous integrated boost in hypofractionated prone breast cancer irradiation: Comparison with sequential boost in a randomized trial.

Van Hulle, Hans; Desaunois, Eline; Vakaet, Vincent; Paelinck, Leen; Schoepen, Max; Post, Giselle; Van Greveling, Annick; Speleers, Bruno et al. · Radiother Oncol · 2021

rct · Level II

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Abstract

A simultaneous integrated boost (SIB) leads to less acute toxicity. Less is known for late toxicity due to SIB. In this first and only randomized trial, two-years toxicity is analysed. Physician-assessed toxicity, using the LENT SOMA scale, and photographs, analysed with the BCCT.core software, was examined for 150 patients, randomized between SIB and sequential boost (SEB). Differences in physician-assessed two-years toxicity and photographic analysis between SIB and SEB are very small and not significant. There is no indication that a SIB leads to an excess in toxicity or worse cosmetic outcome at 2 years.

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