Arm-Behind-the-Back Position for Breast Cancer Radiotherapy in Patients with Lupus Erythematosus and Shoulder Arthropathy: A Case Report

Shoki Nakamura; Kota Fujii; Mami Sakai; Keisuke Sakai; Hideki Hanazawa; Keisuke Nishimura; Kenji Notohara; Kazushige Yamaguchi; Satoshi Itasaka

doi:10.12659/AJCR.946674

24 April 2025 : Case report Japan

Arm-Behind-the-Back Position for Breast Cancer Radiotherapy in Patients with Lupus Erythematosus and Shoulder Arthropathy: A Case Report

Unusual setting of medical care

Shoki Nakamura^12ABCDEF, Kota Fujii

^1ABCDEF*, Mami Sakai^3CDEF, Keisuke Sakai^1DE, Hideki Hanazawa

^1DE, Keisuke Nishimura

^4DE, Kenji Notohara

^5BDE, Kazushige Yamaguchi^6DE, Satoshi Itasaka

^1ABCDE

DOI: 10.12659/AJCR.946674

Am J Case Rep 2025; 26:e946674

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Figure 4. (A–F) Axial dose distribution of the treatment plan in the arm-behind-the-back position. (A) Levels of the superior border of the sternum, (B) the tracheal bifurcation, (C) the lower end of the scapula, (D) the nipple, (E) the apex of the heart, and (F) the diaphragm. Colored lines indicate isodoses. The red arrows indicate the triangular exposure area of the arm.

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Arm-Behind-the-Back Position for Breast Cancer Radiotherapy in Patients with Lupus Erythematosus and Shoulder Arthropathy: A Case Report

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