Radiation therapy after breast-conserving surgery

Naoyuki Shigematsu, Atsuya Takeda, Naoko Sanuki, Junichi Fukada, Takashi Uno, Hisao Ito, Osamu Kawaguchi, Etsuo Kunieda, Atsushi Kubo

Research output: Contribution to journalShort surveypeer-review

2 Citations (Scopus)


The authors critically reviewed previous articles concerning the significance of breast irradiation following breast-conserving surgery in terms of the following subject items: indications for breast-conserving therapy, the significance and complications of breast irradiation, the timing of the start of breast irradiation, the significance of boost irradiation, the potential improvement of survival with systemic therapy plus breast irradiation, the significance of axillary dissection, indications and the significance of regional nodal irradiation, accelerated hypofractionated radiotherapy, omission of breast irradiation in low-risk patients, and future directions. In addition, our previously reported results of breast irradiation following breast-conserving surgery at the Keio University Hospital are outlined. Our newly developed tangential irradiation technique directed to the axilla and a recently introduced three-dimensional simulation technique for radiotherapy treatment planning are also presented.

Original languageEnglish
Pages (from-to)388-404
Number of pages17
JournalRadiation Medicine - Medical Imaging and Radiation Oncology
Issue number5
Publication statusPublished - 2006 Jun


  • Breast-conserving surgery
  • Radiation therapy

ASJC Scopus subject areas

  • Radiation
  • Radiology Nuclear Medicine and imaging
  • Oncology


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