Does a post-surgical hematoma in the breast affect your recommendations for partial breast RT?
Is there a risk that the bleeding could cause microscopic spread of disease outside the lumpectomy cavity (and therefore your CTV/PTV)?
Answer from: Radiation Oncologist at Community Practice
More than seeding, the driving factor is the size of the hematoma. If small, it can proceed as planned with RT, but if large, sometimes it needs drainage or evacuation to help with healing. Any adjuvant RT treatment is driven by healing post-intervention for these large hem...