Late effects after radiotherapy for breast cancer

BMJ 1995; 310 doi: https://doi.org/10.1136/bmj.310.6980.669b (Published 11 March 1995) Cite this as: BMJ 1995;310:669
  1. Margaret Daly,
  2. Elizabeth J Junor,
  3. Adrian N Harnett
  1. Senior registrar in clinical oncology Consultant in clinical oncology Consultant in clinical oncology Beatson Oncology Centre, Glasgow G11 6NT

    EDITOR,—We were disturbed by two of the illustrations in J C R Sainsbury and colleagues' article on the management of breast cancer.1 The text of the article gives a balanced view of the late effects of radiotherapy; the photographs of patients treated with radiotherapy, however, show the worst end of the range of late radiation effects, and this is not discussed or referred to in the text. Osteoradionecrosis in particular is now an exceptional complication after the treatment of breast carcinoma. It results from outdated, crude radiotherapy techniques; treatment with orthovoltage radiotherapy; and inferior fractionation …

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