PMID- 35961182 OWN - NLM STAT- MEDLINE DCOM- 20220908 LR - 20220928 IS - 1724-191X (Electronic) IS - 1120-1797 (Linking) VI - 101 DP - 2022 Sep TI - Synchronous bilateral chest wall irradiation with regional nodal irradiation: A literature review of techniques and a case study. PG - 50-61 LID - S1120-1797(22)02019-1 [pii] LID - 10.1016/j.ejmp.2022.07.005 [doi] AB - The optimal radiotherapy technique for patients requiring both breasts or chest walls simultaneous irradiation with or without regional nodal irradiation is currently under investigation. In the last decade several publications present case reports and case series of patients treated with adjuvant radiotherapy in both breasts or chest walls for synchronous bilateral breast cancer (SBBC) with modern radiotherapy techniques. This article presents a systematic review of relevant literature as well as a case report of a SBBC patient who received bilateral chest wall radiotherapy with regional nodal irradiation at our institution with Truebeam - Edge Linear Accelerator. Solid evidence is provided that the practice of avoiding adjuvant radiotherapy in SBBC out of fear of toxicity with older radiotherapy techniques is outdated. Modern techniques can safely and effectively deliver treatment to patients requiring both sides irradiation and even in mastectomy patients in need of regional nodal irradiation. CI - Copyright (c) 2022 Associazione Italiana di Fisica Medica e Sanitaria. Published by Elsevier Ltd. All rights reserved. FAU - Protopapa, Maria AU - Protopapa M AD - Mediterraneo General Hospital, Radiation Oncology and Radiosurgery Department, Ilias st. 8-12, Glyfada, Greece. Electronic address: merryprotopapa@yahoo.fr. FAU - Stroumbinis, Theodoros AU - Stroumbinis T AD - Mediterraneo General Hospital, Radiation Oncology and Radiosurgery Department, Ilias st. 8-12, Glyfada, Greece. FAU - Zygogianni, Anna AU - Zygogianni A AD - National and Kapodistrian University of Athens, Medical School, 1st Dpt of Radiology, RT Unit, Aretaieion University Hospital, Greece. FAU - Psarras, Michael AU - Psarras M AD - Mediterraneo General Hospital, Radiation Oncology and Radiosurgery Department, Ilias st. 8-12, Glyfada, Greece. FAU - Kouloulias, Vassilis AU - Kouloulias V AD - National and Kapodistrian University of Athens, Medical School, 2nd Dpt of Radiology, RT Unit, ATTIKON University Hospital, Greece. FAU - Platoni, Kalliopi AU - Platoni K AD - National and Kapodistrian University of Athens, Medical School, 2nd Dpt of Radiology, RT Unit, ATTIKON University Hospital, Greece; National and Kapodistrian University of Athens, Medical School, 2nd Dpt of Radiology, Medical Physics Unit, ATTIKON University Hospital, Greece. LA - eng PT - Case Reports PT - Journal Article PT - Review PT - Systematic Review DEP - 20220809 PL - Italy TA - Phys Med JT - Physica medica : PM : an international journal devoted to the applications of physics to medicine and biology : official journal of the Italian Association of Biomedical Physics (AIFB) JID - 9302888 SB - IM MH - *Breast Neoplasms/radiotherapy/surgery MH - Female MH - Humans MH - Mastectomy MH - Radiotherapy Dosage MH - *Radiotherapy, Intensity-Modulated/methods MH - *Thoracic Wall OTO - NOTNLM OT - Dosimetry OT - PRISMA guidelines OT - SBBC OT - Synchronous bilateral breast cancer OT - Systematic review COIS- Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper. EDAT- 2022/08/13 06:00 MHDA- 2022/09/09 06:00 CRDT- 2022/08/12 18:21 PHST- 2022/01/19 00:00 [received] PHST- 2022/06/03 00:00 [revised] PHST- 2022/07/26 00:00 [accepted] PHST- 2022/08/13 06:00 [pubmed] PHST- 2022/09/09 06:00 [medline] PHST- 2022/08/12 18:21 [entrez] AID - S1120-1797(22)02019-1 [pii] AID - 10.1016/j.ejmp.2022.07.005 [doi] PST - ppublish SO - Phys Med. 2022 Sep;101:50-61. doi: 10.1016/j.ejmp.2022.07.005. Epub 2022 Aug 9.