Please select the option that best describes you:
Topics:
Breast Cancer • Radiation Oncology
Do you request lumpectomy cavity markers to be placed at time of surgery to guide planning?
Do you find such markers such as biozorb to be more helpful than delineating the seroma and/or clips on CT?
When is this useful? During all surgeries? Oncoplastic reductions?
Is there concern that such device can negatively affect cosmesis either by altering breast architecture, affecting dosimetry or increasing the boost volume?
Answer from: Radiation Oncologist at Academic Institution
A fixed marker may not fill an irregular cavity well. With increasing attention to oncoplastic approaches, a seroma and surgical changes on CT are no longer reliable. I prefer the 6 clips approach in all directions (except the anterior margin if at the dermis), but even that is not always perfect ba...
Answer from: Radiation Oncologist at Community Practice
In the era of CT based planning and excellent local control, it would be hard to justify routine use of this device to mark the boost area. The situation where the cavity is obliterated like oncoplastic surgery or where cavity is sometimes hard to define like dense breast tissue, there may be some r...
Comments
Radiation Oncologist at Yale School of Medicine
Is the discussion about Biozorb type devices or cl...
Is the discussion about Biozorb type devices or cl...
Radiation Oncologist at USC Keck School of Medicine
@Suzanne B. Evans, I would love to hear your thoug...
@Suzanne B. Evans, I would love to hear your thoug...
Radiation Oncologist at Radiation Medicine Associates
I recently treated a patient who had a biozorb pla...
I recently treated a patient who had a biozorb pla...
Radiation Oncologist at Tri-Cities Cancer Center
Update after a few years, as both our breast surge...
Update after a few years, as both our breast surge...
Clips or Biozorb are very helpful for confidently ...