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Topics:
Breast Cancer • Radiation Oncology
Do you make any distinction or have any special consideration when considering a patient for hypofractionation for left versus right breast cancer?
i.e. are there any situations where you may recommend against using hypofractionation for a patient with left sided breast cancer such as dose constraints for heart/lung (assuming they meet inclusion criteria for UK/Canada trials, ASTRO consensus guidelines)
Answer from: Radiation Oncologist at Academic Institution
In general I see no major issue with hypofractionation and cardiac issues. Whether standard or hypofractionation the cardiac dose should be minimized to the greatest extent possible by any combination of techniques including deep breath holding, cardiac blocks, etc. Keeping the mean heart dose as lo...
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