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Topics:
Breast Cancer • Radiation Oncology
Are there situations where you would use hypofractionated radiotherapy for Stage III breast cancer?
Would it be acceptable to treat a patient with locally advanced breast cancer (ex pT2N2a) s/p lumpectomy with a short course 4 week treatment instead of conventional 6 weeks, because of patient preference?
Answer from: Radiation Oncologist at Academic Institution
The answer to this question is complex, and cannot be adequately explained in a brief response.Treatment of local advanced breast with hypofractionated radiation is not currently an accepted standard practice in this country. This situation occurs in both breast conservation and mastectomy (+/- rec...
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Answer from: Radiation Oncologist at Community Practice
I agree with @Matthew M. Poppe and appreciate his clear and concise review of the literature. In our practice, the only (non-inflammatory) patients for whom we do not offer hypofractionation are those with immediate tissue-expander-based reconstruction. Given the dearth of evidence for such cas...
Answer from: Radiation Oncologist at Community Practice
We routinely offer HFRT for PMRT for non inflammatory breast cancer or for patients without immediate reconstruction (we offer them the NRG study). We use 40 Gy in 15 fractions.