Cancer of right breast with single-liver metastasis-simultaneous treatment of chest wall with radiotherapy for carcinoma breast and SBRT for liver lesion: Procedural details of the complex procedure

Kanhu Charan Patro; Venkata Naga Priyasha Damodara; Rakesh Reddy Boyya; Chitaranjan Kundu; Partha Sarathi Bhattacharyya; Venkata Krishna Reddy Pilaka; Sanjukta Padhi; Mrutyunjayarao Muvvala; P Srinivasuslu Reddy; Veera Surya Premchand Kumar Avidi; Mohanapriya Atchaiyalingam; Keerthiga Karthikeyan; Arunachalam Chithambara Prabu; Aketi Srinu; Parasa Prasad; Ayyalasomayajula Anil Kumar

doi:10.4103/jco.jco_33_21

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CASE REPORT

Year : 2021 \| Volume : 4 \| Issue : 2 \| Page : 136-139

Cancer of right breast with single-liver metastasis-simultaneous treatment of chest wall with radiotherapy for carcinoma breast and SBRT for liver lesion: Procedural details of the complex procedure Kanhu Charan Patro¹, Venkata Naga Priyasha Damodara¹, Rakesh Reddy Boyya², Chitaranjan Kundu¹, Partha Sarathi Bhattacharyya¹, Venkata Krishna Reddy Pilaka¹, Sanjukta Padhi³, Mrutyunjayarao Muvvala¹, P Srinivasuslu Reddy¹, Veera Surya Premchand Kumar Avidi¹, Mohanapriya Atchaiyalingam¹, Keerthiga Karthikeyan¹, Arunachalam Chithambara Prabu⁴, Aketi Srinu⁴, Parasa Prasad⁴, Ayyalasomayajula Anil Kumar⁴ ¹ Department of Radiation Oncology, Mahatma Gandhi Cancer Hospital and Research Institute, Visakhapatnam, Andhra Pradesh, India ² Department of Medical Oncology, Mahatma Gandhi Cancer Hospital and Research Institute, Visakhapatnam, Andra Pradesh, India ³ Department of Radiation Oncology, Acharya Harihar Regional Cancer Centre, SCB Medical College, Cuttack, Odisha, India ⁴ Department of Medical Physics, Mahatma Gandhi Cancer Hospital and Research Institute, Visakhapatnam, Andhra Pradesh, India Correspondence Address: Dr. Kanhu Charan Patro Department of Radiation Oncology, Mahatma Gandhi Cancer Hospital and Research Institute, Visakhapatnam, Andhra Pradesh India Source of Support: None, Conflict of Interest: None DOI: 10.4103/jco.jco_33_21

Breast cancer with oligometastasis is not uncommon. Greater therapeutic advantage has been reported in various literatures with evolution of treatment technique. Here we report a case of ductal carcinoma right breast with a single metastasis to liver. This patient was treated with radical intent with chemotherapy, surgery, and then followed by radiotherapy to right chest wall along with stereotactic body radiotherapy for liver metastasis. Each treatment per se is not complicated. When radiation delivered to both chest wall and liver, the cumulative dose to liver is the main concern. Here we present the procedural details of this complex procedure.



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