In Reply to Chang and Kim.

International journal of radiation oncology, biology, physics(2023)

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We thank Chang and Kim 1 Chang JS Kim K In regard to Healy et al. Int J Radiat Oncol Biol Phys. 2023; 117: 517-519 Abstract Full Text Full Text PDF Google Scholar for their interest in our manuscript. 2 Healy E Beyer S Jhawar S White JR Bazan JG The axillary lateral vessel thoracic junction is not an organ at risk for breast cancer-related lymphedema. Int J Radiat Oncol Biol Phys. 2023; 117: 452-460 Abstract Full Text Full Text PDF Scopus (0) Google Scholar Similar to the study by Gross et al, 3 Gross JP Lynch CM Flores AM et al. Determining the organ at risk for lymphedema after regional nodal irradiation in breast cancer. Int J Radiat Oncol Biol Phys. 2019; 105: 649-658 Abstract Full Text Full Text PDF PubMed Scopus (29) Google Scholar our study focused solely on patients who received regional nodal irradiation for lymph-node positive breast cancer. The results of our study indicate that in this patient population, the most important factors associated with the development of breast cancer-related lymphedema (BCRL) are number of lymph nodes removed/type of axillary surgery, body mass index, and age.
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