Case report:
Patient with breast cancer (T1N1M0), after BCS surgery, chemotherapy and external beam radiation therapy, was qualified for HDR Brachytherapy as a "boost". Histopathology: ductal invasive carcinoma and "in situ" G2, without lymph node involvement. In general anaesthesia 7 elastic needles were inserted in bottom half of a right breast. CT scans were made every 3 mm, then 3D treatment plan was prepared using PLATO system. Dose of 10 Gy was given into tumour bed.
Case gallery:
Cicatrix after breast conserving surgery, location of clips marked on skin
I stage of implantation - steel needles used as guide
Elastic applicators inserted into steel needles
7 elastic applicators covering tumour bed
Buttons fixing applicators
Team during applicators insertion
3D treatment plan - transversal view, CTV introduced, applicators with markers and contour of thorax visible
3D treatment plan (PLATO) - CTV introduced (in orange), applicators and contour of thorax visible
3D treatment plan (PLATO) - CTV introduced (in orange), applicators and contour of thorax visible, izosodes - 100% means planned 10 Gy. Dosis in lungs and skin are less then 50%.