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Breast Cancer • Radiation Oncology
Does the presence of interstitial lung disease affect your recommendation for BCT vs mastectomy for early stage breast cancer?
Would you recommend a patient get mastectomy to avoid radiation? If treating a breast cancer patient with ILD, what lung dose constraint do you use?
Answer from: Radiation Oncologist at Academic Institution
I would not use the diagnosis of interstitial lung disease to impact my recommendation for BCT vs. mastectomy. For low risk cases, one can omit RT. In other early stage cases, APBI can be used to reduce lung dose. For locally advanced cases, if the patient can tolerate DIBH can be used or tighter ta...
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