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1998, 1999년도 우리나라에서 시행된 유방보존수술 후 방사선치료 현황 조사

Other Titles
 The 1998, 1999 Patterns of Care Study for Breast Irradiation After Breast-Conserving Surgery in Korea 
 서창옥  ;  신현수  ;  조재호  ;  박원  ;  안승도  ;  신경환  ;  정은지  ;  금기창  ;  하성환  ;  안성자  ;  김우철  ;  이명자  ;  안기정  ;  최두호  ;  김진희  ;  박경란  ;  이강규 강승희†††  ;  송미희‡‡‡  ;  오도훈§§§ 이재환∥∥∥  ;  김일한 
 Journal of the Korean Society for Therapeutic Radiology and Oncology (대한방사선종양학회지), Vol.22(3) : 192-199, 2004-09 
Journal Title
 Journal of the Korean Society for Therapeutic Radiology and Oncology (대한방사선종양학회지) 
Issue Date
Breast cancer ; Breast-conserving treatment ; Radiotherapy
Purpose: To determine the patterns of evaluation and treatment in the patient with early breast cancer treated with conservative surgery and radiotherapy and to improve the radiotherapy techiniques, nationwide survey was performed. Materials and Methods: A web-based database system for Korean Patterns of Care Study (PCS) for 6 common cancers was developed. Two hundreds sixty-one randomly selected records of eligible patients treated between 1998∼1999 from 15 hospitals were reviewed. Results: The patients ages ranged from 24 to 85 years(median 45 years). Infiltrating ductal carcinoma was most common histologic type (88.9%) followed by medullary carcinoma (4.2%) and infiltrating lobular carcinoma (1.5%). Pathologic T stage by AJCC was T1 in 59.7% of the casses, T2 in 29.5% of the cases, Tis in 8.8% of the cases. Axillary lymph node dissection was performed in 91.2% of the cases and 69.7% were node negative. AJCC stage was 0 in 8.8% of the cases, stage I in 44.9% of the cases, stage IIa in 33.3% of the cases, and stage IIb in 8.4% of the cases. Estrogen and progesteron receptors were evaluated in 71.6%, and 70.9% of the patients, respectively. Surgical methods of breast-conserving surgery was excision/lumpectomy in 37.2%, wide excision in 11.5%, quadrantectomy in 23% and partial mastectomy in 27.5% of the cases. A pathologically confirmed negative margin was obtained in 90.8% of the cases. Pathological margin was involved with tumor in 10 patients and margin was close (less than 2 mm) in 10 patients. All the patients except one recieved more than 90% of the planned radiotherapy dose. Radiotherapy volume was breast only in 88% of the cases, breast+supraclavicular fossa (SCL) in 5% of the cases, and breast+SCL+posterior axillary boost in 4.2% of the cases. Only one patient received isolated internal mammary lymph node irradiation. Used radiation beam was Co-60 in 8 cases, 4 MV X-ray in 115 cases, 6 MV X-ray in 125 cases, and 10 MV X-ray in 11 cases. The radiation dose to the whole breast was 45∼59.4 Gy (median 50.4) and boost dose was 8∼20 Gy (median 10 Gy). The total radiation dose delivered was 50.4∼70.4 Gy (median 60.4 Gy). Conclusion: There was no major deviation from current standard in the patterns of evaluation and treatment for the patients with early breast cancer treated with breast conservation method. Some varieties were identified in boost irradiation dose. Separate analysis for the datails of radiotherapy planning will be followed and the outcome of treatment is needed to evaluate the process.
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1. College of Medicine (의과대학) > Dept. of Radiation Oncology (방사선종양학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Otorhinolaryngology (이비인후과학교실) > 1. Journal Papers
Yonsei Authors
Keum, Ki Chang(금기창) ORCID logo https://orcid.org/0000-0003-4123-7998
Suh, Chang Ok(서창옥)
Shin, Hyun Soo(신현수)
Cho, Jae Ho(조재호) ORCID logo https://orcid.org/0000-0001-9966-5157
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