Late locoregional complications associated with adjuvant radiotherapy in the treatment of breast cancer: Systematic review and meta-analysis

J Surg Oncol. 2020 Apr;121(5):766-776. doi: 10.1002/jso.25820. Epub 2019 Dec 26.

Abstract

This systematic review with meta-analysis addressed late locoregional complications associated with adjuvant radiotherapy (RT) in breast cancer. Among 2120 titles, ten comparative studies in patients undergoing surgery vs surgery and radiotherapy reporting complications were evaluated. RT was associated with an increased risk of capsular contracture and decreased the mobility of the upper limb. A borderline association of lymphedema risk using RT was noted in the random-effects model but was significant in the fixed-effects model.

Keywords: breast cancer; complications; lymphedema; radiotherapy; side effects.

Publication types

  • Meta-Analysis
  • Systematic Review

MeSH terms

  • Breast Neoplasms / therapy*
  • Contracture / etiology*
  • Female
  • Humans
  • Lymphedema / etiology*
  • Mastectomy
  • Radiotherapy, Adjuvant / adverse effects*