title: Evaluation of Sentinel Lymph Node Dose Distribution in 3D Conformal Radiotherapy Techniques in 67 pN0 Breast Cancer Patients.
abstract: Introduction. The anatomic position of the sentinel lymph node is variable. The purpose of the following study was to assess the dose distribution delivered to the surgically marked sentinel lymph node site by 3D conformal radio therapy technique. Material and Method. We retrospectively analysed 70 radiotherapy (RT) treatment plans of consecutive primary breast cancer patients with a successful, disease-free, sentinel lymph node resection. Results. In our case series the SN clip volume received a mean dose of 40.7 Gy (min 28.8 Gy/max 47.6 Gy). Conclusion. By using surgical clip markers in combination with 3D CT images our data supports the pathway of tumouricidal doses in the SN bed. The target volume should be defined by surgical clip markers and 3D CT images to give accurate dose estimations.
authors.affiliation: Diakonieklinikum Schwäbisch Hall, Abteilung für Strahlentherapie, Diakoniestr. 10, 74523 Schwäbisch Hall, Germany.
authors.forename: Gerlo
authors.initials: G
authors.lastname: Witucki
authors.affiliation: Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Ulm, Prittwitzerstr. 43, 89075 Ulm, Germany.
authors.forename: Nikolaus
authors.initials: N
authors.lastname: Degregorio
authors.affiliation: Diakonieklinikum Schwäbisch Hall, Frauenklinik mit Brustzentrum und Genitalkrebszentrum, Diakoniestr. 10, 74523 Schwäbisch Hall, Germany.
authors.forename: Andreas
authors.initials: A
authors.lastname: Rempen
authors.affiliation: Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Ulm, Prittwitzerstr. 43, 89075 Ulm, Germany.
authors.forename: Lukas
authors.initials: L
authors.lastname: Schwentner
authors.affiliation: Klinik für Strahlentherapie und Radioonkologie, Universitätsklinikum Ulm, Prittwitzerstr. 43, 89075 Ulm, Germany.
authors.forename: Dirk
authors.initials: D
authors.lastname: Bottke
authors.affiliation: Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Ulm, Prittwitzerstr. 43, 89075 Ulm, Germany.
authors.forename: Wolfgang
authors.initials: W
authors.lastname: Janni
authors.affiliation: Klinik für Frauenheilkunde und Geburtshilfe, Universitätsklinikum Ulm, Prittwitzerstr. 43, 89075 Ulm, Germany.
authors.forename: Florian
authors.initials: F
authors.lastname: Ebner