Are there any whole breast RT techniques or modifications to optimize cosmesis for patients who had prior breast augmentation?

How do you modify your adjuvant whole breast RT design (e.g., CTV_WB per RTOG 1005 volume-based or field-based approach) for patients with *prior* cosmetic breast augmentation who now pursue breast conserving therapy for early stage breast cancer, and are not good candidates for partial breast?

Are there any differences in whole breast irradiation planning for patients with prior subpectoral vs subglandular cosmetic implants/augmentation?

Answer from: Radiation Oncologist at Community Practice

There are various approaches one can take. If not suitable for APBI then one can do partial breast with tangent beam like IMPORT LOW which also decreases exposure of implant and can help reduce the probability of worsening of cosmetic outcome. The goal is to deliver as homogenous dose as possib...

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Radiation Oncologist at Lake Huron Medical Center
If I can get approval, in patients with early stag...

Radiation Oncologist at Community Health Network
I use partial breast either IMPORT LOW 2600/5 or 4...

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Are there any whole breast RT techniques or modifications to optimize cosmesis for patients who had prior breast augmentation?

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