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Authors
Advisor(s)
Abstract(s)
A temática deste trabalho está relacionada com o tratamento de Radioterapia
no cancro da mama, em particular, a relação entre os efeitos secundários e os
fracionamentos, convencional e hipofracionamento(HF).
O objetivo principal desta investigação é:
Compreender se o tipo de fracionamento selecionado, fracionamento
convencional (FC) ou HF, influenciará os efeitos secundários que surgem e a sua
gravidade. De modo mais específico, analisar os efeitos secundários agudos
presentes no final dos tratamentos de Radioterapia e descrever boas práticas, de
modo a diminuir o seu surgimento.
O estudo baseou-se na recolha de dados através da pesquisa de todos os sintomas
descritos na consulta final de tratamento das doentes de mama tratadas com
radioterapia externa na Clínica de Radioncologia de Évora e registados no no Journal
(ARIA®).
Foi obtida uma amostra de 150 doentes e os resultados evidenciam que, em
termos gerais, os doentes tratados com esquemas de HF, apresentam menos efeitos
secundários agudos, 41%, em comparação com os tratados com um FC, 59%, e
também efeitos em estádios mais iniciais.
Concluindo o FC está associado a maior frequência de ESA comparativamente ao
HF, excetuando na radiodermite grau I. O eritema (54%) foi o mais detetado, seguido
das radiodermites I e II (37,3% e 38,7% respetivamente). No total da amostra pode se comprovar que 28 doentes não apresentaram sintomas, ou seja 18,6%. O HF
apresenta menos ESA e torna-se mais vantajoso
Abstract: The theme of this study is related to Radiotherapy treatment in breast cancer, in particular, the relationship between side effects and the fractionations, conventional and hypofractionation (HF). The main objective of this research is: To understand whether the type of fractionation selected, conventional fractionation (FC) or HF, will influence the side effects that arise and its severity. More specifically, to analyze the acute side effects present at the end of radiotherapy treatments and to describe good practices in order to reduce its occurrence. The study was based on data collection through research on all the symptoms described in the final treatment consultation of breast patients treated with external radiotherapy at the Radioncology Clinic in Évora and registered in the Journal (ARIA®). A sample of 150 patients was obtained and the results show that, in general terms, patients treated with HF schemes have fewer acute side effects, 41%, compared to those treated with FC, 59%, and also effects on earlier stages. In conclusion, CF is associated with a higher frequency of ESA compared to HF, with the exception of grade I radiodermatitis. Erythema (54%) was the most detected, followed by radiodermatitis I and II (37.3% and 38.7% respectively). In the total sample, it can be seen that 28 patients did not present symptoms, that is, 18.6%. HF has less ESA and becomes more advantageous
Abstract: The theme of this study is related to Radiotherapy treatment in breast cancer, in particular, the relationship between side effects and the fractionations, conventional and hypofractionation (HF). The main objective of this research is: To understand whether the type of fractionation selected, conventional fractionation (FC) or HF, will influence the side effects that arise and its severity. More specifically, to analyze the acute side effects present at the end of radiotherapy treatments and to describe good practices in order to reduce its occurrence. The study was based on data collection through research on all the symptoms described in the final treatment consultation of breast patients treated with external radiotherapy at the Radioncology Clinic in Évora and registered in the Journal (ARIA®). A sample of 150 patients was obtained and the results show that, in general terms, patients treated with HF schemes have fewer acute side effects, 41%, compared to those treated with FC, 59%, and also effects on earlier stages. In conclusion, CF is associated with a higher frequency of ESA compared to HF, with the exception of grade I radiodermatitis. Erythema (54%) was the most detected, followed by radiodermatitis I and II (37.3% and 38.7% respectively). In the total sample, it can be seen that 28 patients did not present symptoms, that is, 18.6%. HF has less ESA and becomes more advantageous
Description
Trabalho de natureza profissional submetido ao Instituto Politécnico de Castelo Branco
para cumprimento dos requisitos necessários à obtenção de Título de Especialista (Área Especialização em Radioterapia) de acordo com o Decreto-Lei 206/2009 de 31 de Agosto.
Keywords
Radioterapia Cancro de mama Efeitos secundários agudos Fracionamento convencional Hipofracionamento Radiattion therapy Breast cancer Acute side effects Hypofractionated radiotherapy Conventional radiotherapy
Citation
ESPADINHA, Ana Lúcia Serrano (2024) - Efeitos secundários agudos do cancro de mama num fracionamento convencional vs hipofracionamento. Castelo Branco : IPCB. 59 p. Provas públicas.