Techniques and Practice of Post Mastectomy Radiotherapy in Nigeria: A Multi-Centre Study
International Journal of Clinical Oncology and Cancer Research
Volume 3, Issue 3, June 2018, Pages: 41-48
Received: Aug. 10, 2018;
Accepted: Aug. 28, 2018;
Published: Oct. 8, 2018
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Salako Omolola, Department of Radiotherapy, Lagos University Teaching Hospital, Lagos, Nigeria
Aliyu Usman Malami, Department of Radiotherapy and Oncology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
Jimoh Mutiu Alani, Department of Radiation Oncology, University College Hospital, Ibadan, Nigeria
Oboh Oseiwe Evaristus, Department of Radiation and Clinical Oncology, University of Benin Teaching Hospital, Benin, Nigeria
Nwankwo Kenneth, Department of Radiation Oncology, University of Nigeria Teaching Hospital, Enugu, Nigeria
Ogunnorin Babatunde Olutoye, Department of Radiotherapy and Oncology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
Habeeb Muhammed, Department of Radiotherapy, Lagos University Teaching Hospital, Lagos, Nigeria
Olukiran Olugbenro Emmanueal, Department of Radiotherapy, Lagos University Teaching Hospital, Lagos, Nigeria
Ahmed Rilwan, Department of Radiotherapy and Oncology, National Hospital, Abuja, Nigeria
Joseph Adedayo, Department of Radiotherapy, Lagos University Teaching Hospital, Lagos, Nigeria
Roberts Alero Ann, Department of Community Health, Lagos University Teaching Hospital, Lagos, Nigeria
Oyesegun Razaak, Department of Radiotherapy and Oncology, National Hospital, Abuja, Nigeria
Ketiku Kingsley Kayode, Department of Radiation Oncology, EKO Hospital, Lagos, Nigeria
Adenipekun Adeniyi Adesina, Department of Radiotherapy and Oncology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
Campbell Oladapo Babatunde, Department of Radiotherapy and Oncology, Usmanu Danfodiyo University Teaching Hospital, Sokoto, Nigeria
Adewuyi Sunday, Department of Radiotherapy and Oncology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
Chukwuocha Ikechukwu, Department of Radiotherapy and Oncology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
Otene Samuel Anaja, Department of Radiotherapy and Oncology, Ahmadu Bello University Teaching Hospital, Zaria, Nigeria
Duncan Josbert Thomas Kofi, Department of Radiation Oncology, EKO Hospital, Lagos, Nigeria
Durosinmi-Etti Francis Abayomi, Department of Radiotherapy, Lagos University Teaching Hospital, Lagos, Nigeria
Breast cancer affect millions of women worldwide with an increasing incidence in developing countries. In Nigeria, late presentation is the norm, with most patients presenting at stages III and IV. Patients may be at risk of local recurrence after mastectomy due to areas of microscopic residual disease such as the chest wall and regional nodal basins. Post-mastectomy radiotherapy (PMRT) has been found to reduce this risk. The aim of the study was to evaluate the techniques and practice of post mastectomy radiotherapy among breast cancer patients treated in Nigeria. This descriptive retrospective study was carried out for all histologically confirmed breast cancer cases that had post mastectomy radiotherapy between 2004 and 2015, in all (8) centres in Nigeria. Information from patient’s records were extracted using data proforma. Data of 2,143 patients were analysed. All patients received radiation to the chest wall. Thirty nine point one percent had two regional nodes irradiated, while 38% had only axilla treated, and 6.3% had three regional lymph nodes irradiated. All patients had treatment planning, majority (93.7%) with conventional technique. The primary beam used was photon with electron boost to the scar (62.8%). Fractionation method was mostly 50Gy in 25 fractions over 5 weeks (61.8%). Three fields were used in treating more than half of the patients (63.0%) while 30.9% were treated with 4 fields’ techniques. The study revealed a short fall in access to radiotherapy within the study period. Two dimensional treatment planning method was the dominant with considerable variations across centres in terms of practice and techniques.
Aliyu Usman Malami,
Jimoh Mutiu Alani,
Oboh Oseiwe Evaristus,
Ogunnorin Babatunde Olutoye,
Olukiran Olugbenro Emmanueal,
Roberts Alero Ann,
Ketiku Kingsley Kayode,
Adenipekun Adeniyi Adesina,
Campbell Oladapo Babatunde,
Otene Samuel Anaja,
Duncan Josbert Thomas Kofi,
Durosinmi-Etti Francis Abayomi,
Techniques and Practice of Post Mastectomy Radiotherapy in Nigeria: A Multi-Centre Study, International Journal of Clinical Oncology and Cancer Research.
Vol. 3, No. 3,
2018, pp. 41-48.
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