@article{10.11648/j.ijcocr.20180303.15,
  author = {Salako Omolola and Aliyu Usman Malami and Jimoh Mutiu Alani and Oboh Oseiwe Evaristus and Nwankwo Kenneth and Ogunnorin Babatunde Olutoye and Habeeb Muhammed and Olukiran Olugbenro Emmanueal and Ahmed Rilwan and Joseph Adedayo and Roberts Alero Ann and Oyesegun Razaak and Ketiku Kingsley Kayode and Adenipekun Adeniyi Adesina and Campbell Oladapo Babatunde and Adewuyi Sunday and Chukwuocha Ikechukwu and Otene Samuel Anaja and Duncan Josbert Thomas Kofi and Durosinmi-Etti Francis Abayomi},
  title = {Techniques and Practice of Post Mastectomy Radiotherapy in Nigeria: A Multi-Centre Study},
  journal = {International Journal of Clinical Oncology and Cancer Research},
  volume = {3},
  number = {3},
  pages = {41-48},
  doi = {10.11648/j.ijcocr.20180303.15},
  url = {https://doi.org/10.11648/j.ijcocr.20180303.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcocr.20180303.15},
  abstract = {Breast cancer affect millions of women worldwide with an increasing incidence in developing countries. In Nigeria, late presentation is the norm, with most patients presenting at stages III and IV. Patients may be at risk of local recurrence after mastectomy due to areas of microscopic residual disease such as the chest wall and regional nodal basins. Post-mastectomy radiotherapy (PMRT) has been found to reduce this risk. The aim of the study was to evaluate the techniques and practice of post mastectomy radiotherapy among breast cancer patients treated in Nigeria. This descriptive retrospective study was carried out for all histologically confirmed breast cancer cases that had post mastectomy radiotherapy between 2004 and 2015, in all (8) centres in Nigeria. Information from patient’s records were extracted using data proforma. Data of 2,143 patients were analysed. All patients received radiation to the chest wall. Thirty nine point one percent had two regional nodes irradiated, while 38% had only axilla treated, and 6.3% had three regional lymph nodes irradiated. All patients had treatment planning, majority (93.7%) with conventional technique. The primary beam used was photon with electron boost to the scar (62.8%). Fractionation method was mostly 50Gy in 25 fractions over 5 weeks (61.8%). Three fields were used in treating more than half of the patients (63.0%) while 30.9% were treated with 4 fields’ techniques. The study revealed a short fall in access to radiotherapy within the study period. Two dimensional treatment planning method was the dominant with considerable variations across centres in terms of practice and techniques.},
 year = {2018}
}

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TY  - JOUR
T1  - Techniques and Practice of Post Mastectomy Radiotherapy in Nigeria: A Multi-Centre Study
AU  - Salako Omolola
AU  - Aliyu Usman Malami
AU  - Jimoh Mutiu Alani
AU  - Oboh Oseiwe Evaristus
AU  - Nwankwo Kenneth
AU  - Ogunnorin Babatunde Olutoye
AU  - Habeeb Muhammed
AU  - Olukiran Olugbenro Emmanueal
AU  - Ahmed Rilwan
AU  - Joseph Adedayo
AU  - Roberts Alero Ann
AU  - Oyesegun Razaak
AU  - Ketiku Kingsley Kayode
AU  - Adenipekun Adeniyi Adesina
AU  - Campbell Oladapo Babatunde
AU  - Adewuyi Sunday
AU  - Chukwuocha Ikechukwu
AU  - Otene Samuel Anaja
AU  - Duncan Josbert Thomas Kofi
AU  - Durosinmi-Etti Francis Abayomi
Y1  - 2018/10/08
PY  - 2018
N1  - https://doi.org/10.11648/j.ijcocr.20180303.15
DO  - 10.11648/j.ijcocr.20180303.15
T2  - International Journal of Clinical Oncology and Cancer Research
JF  - International Journal of Clinical Oncology and Cancer Research
JO  - International Journal of Clinical Oncology and Cancer Research
SP  - 41
EP  - 48
PB  - Science Publishing Group
SN  - 2578-9511
UR  - https://doi.org/10.11648/j.ijcocr.20180303.15
AB  - Breast cancer affect millions of women worldwide with an increasing incidence in developing countries. In Nigeria, late presentation is the norm, with most patients presenting at stages III and IV. Patients may be at risk of local recurrence after mastectomy due to areas of microscopic residual disease such as the chest wall and regional nodal basins. Post-mastectomy radiotherapy (PMRT) has been found to reduce this risk. The aim of the study was to evaluate the techniques and practice of post mastectomy radiotherapy among breast cancer patients treated in Nigeria. This descriptive retrospective study was carried out for all histologically confirmed breast cancer cases that had post mastectomy radiotherapy between 2004 and 2015, in all (8) centres in Nigeria. Information from patient’s records were extracted using data proforma. Data of 2,143 patients were analysed. All patients received radiation to the chest wall. Thirty nine point one percent had two regional nodes irradiated, while 38% had only axilla treated, and 6.3% had three regional lymph nodes irradiated. All patients had treatment planning, majority (93.7%) with conventional technique. The primary beam used was photon with electron boost to the scar (62.8%). Fractionation method was mostly 50Gy in 25 fractions over 5 weeks (61.8%). Three fields were used in treating more than half of the patients (63.0%) while 30.9% were treated with 4 fields’ techniques. The study revealed a short fall in access to radiotherapy within the study period. Two dimensional treatment planning method was the dominant with considerable variations across centres in terms of practice and techniques.
VL  - 3
IS  - 3
ER  - 

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