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Breast Cancer • Radiation Oncology
For invasive ductal carcinoma with micropapillary features s/p lumpectomy, is bolus needed when treated with adjuvant whole-breast RT?
In what clinical circumstances would bolus be indicated for this histology?
Answer from: Radiation Oncologist at Academic Institution
When using WBI, I don't typically bolus tangential fields. If superficial cavity and you are concerned about dose to cavity, I try to use 6 MV photons for tangents. For very superficial cavities, if you want to be sure, you can MOSFET over lumpectomy incision and if low, can add bolus over the incis...
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