Evaluation of cardiotoxicity five years after 2D planned, non-simulated, radiation therapy for left breast cancer.
BACKGROUND
Radiation treatment has been associated with radiation induced cardiotoxicity, especially with older, long-outdated, techniques. Such complications include pericarditis, myocardial fibrosis, valvular injury, ischemic heart disease, and myocardial infarction.


OBJECTIVE
To assess the effect of outdated breast radiation therapy (RT) - using a diagnostic CT scanner in the absence of a CT simulator - on cardiac function in women with stage II left breast cancer.


METHODS
Sixty-two women under 65 with stage II left breast cancer who received post-operative RT using a diagnostic computed tomography scanner were studied between 1997 and 2001. Participants underwent a clinical interview, ECG, and echocardiography before and 6 months and 5 years after RT.


RESULTS
There was no serious cardiotoxicity at 6 months and 5 years after radiotherapy. A 23% increase in hypertensive patients, and a slight decrease (2.3%) in ejection fraction was observed after 5 years, with 3 patients (5%) developing abnormalities. Two patients presented abnormal electrocardiographic findings within 6 months of RT.


CONCLUSIONS
Our study showed that RT for left breast cancer was not associated with significant alteration in heart morbidity or mortality within 5 years of treatment, despite the lack of a simulator.
Pistevou-Gompaki
Kyriaki
K
Department of Radiation Oncology;
Hatzitolios
Apostolos
A
Eleftheriadis
Nikos
N
Boultoukas
Evaggelos
E
Ntaios
George
G
Andronikidis
Ioannis
I
Tzitzikas
Ioannis
I