Factors Affecting Significant Breast Edema in Breast Cancer Patients Receiving Breast-Conserving Surgery and Radiotherapy with Deep Inspiration Breath Hold - Takeaways - MDSpire

Factors Affecting Significant Breast Edema in Breast Cancer Patients Receiving Breast-Conserving Surgery and Radiotherapy with Deep Inspiration Breath Hold

  • By

  • Yong Sang

  • Xiaoye Su

  • Nan Hu

  • Jianan Wu

  • Lijuan Huang

  • Jing Jin

  • Qin Xiao

  • April 24, 2026

  • 0 min

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  • 1

    Breast edema (BE) is a common complication after breast-conserving surgery (BCS) and radiotherapy in early-stage breast cancer patients.

  • 2

    Significant breast edema (SBE) is defined as a dimensional increase of ≥5 mm in the breast during radiotherapy, impacting treatment planning.

  • 3

    PTVboost volume was identified as the only independent factor significantly associated with increased risk of SBE during radiotherapy.

  • 4

    The optimal cutoff value for PTVboost volume predicting SBE was determined to be 107.5 cc, with a sensitivity of 80% and specificity of 56%.

  • 5

    Proactive management of SBE is recommended in BCS patients during radiotherapy to improve treatment accuracy and patient quality of life.

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