Effects of Boron-Based Gel on Radiation-Induced Dermatitis in Breast Cancer: A Double-Blind, Placebo-Controlled Trial

J Invest Surg. 2017 Jun;30(3):187-192. doi: 10.1080/08941939.2016.1232449. Epub 2016 Oct 4.

Abstract

Aim: This study is aimed to evaluate the effects of boron on radiation-induced skin reactions (RISR) in breast cancer patients.

Material and methods: After 47 patients with invasive ductal carcinoma underwent radiotherapy, 23 (49%) received a boron-based gel, and 24 (51%) received placebo. Assessments were performed according to the Radiation Therapy Oncology Group (RTOG) skin scale and a Five-Point Horizontal Scale (FPHS).

Results: At the end of the fifth week of radiotherapy, the RTOG scores in the boron group were significantly lower than those in the placebo group (p = .024). The FPHS score was higher in the placebo group than in the boron group, and this difference was not statistically significant (p = .079).

Conclusion: Using the RTOG scoring system, we revealed that the application of a boron-based gel diminished RISR. The mechanism of action is unclear but may be related to antioxidant, wound healing, and thermal degradation effects of boron.

Keywords: boron; breast; cancer; dermatitis; gel; radiation.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adult
  • Aged
  • Boron / therapeutic use*
  • Breast Neoplasms / radiotherapy*
  • Carcinoma, Ductal, Breast / radiotherapy*
  • Double-Blind Method
  • Female
  • Gels
  • Humans
  • Middle Aged
  • Radiodermatitis / prevention & control*

Substances

  • Gels
  • Boron