Please select the option that best describes you:
Topics:
Breast Cancer • Radiation Oncology
How do you treat the chest wall after mastectomy with an expander?
Would you consider hypofractionation? If so,what dose? Would you consider a boost if there were close margins?
Answer from: Radiation Oncologist at Community Practice
https://www.ncbi.nlm.nih.gov/pubmed/26383675This paper from us shows recurrence pattern and highlights the importance of revising contouring for the chest wall as the area of risk is above the pec and in between pec muscle.It is not behind and not into intercostal muscle as required in current guide...
Answer from: Radiation Oncologist at Academic Institution
I treat it much like I would for a non-reconstructed chest wall, with every other day bolus. Instead of superflab bolus, however, we use chain mail which is equivalent to 0.5cm of superflab bolus. It conforms to the tissue expander better.
I strongly prefer to only use hypofractionated radiation af...
Comments
Radiation Oncologist at Private Practice
If the deep margin is positive, would you boost th...
If the deep margin is positive, would you boost th...
Radiation Oncologist at Varian Medical Systems/Allegheny health network
If one can localize, then yes.
If one can localize, then yes.
Radiation Oncologist at Indiana University Health
If the deep margin is positive and the patient und...
If the deep margin is positive and the patient und...
Radiation Oncologist at Cleveland Clinic
If it's the deep margin, I take the tangents and b...
If it's the deep margin, I take the tangents and b...
Answer from: Radiation Oncologist at Community Practice
I feel there is place for use of hypofrationation after mastectomy with or without expander. It will be nice to see clinical trials completed to confirm this.
Do you treat with DIBH (and if so, what bolus do y...
We attempt to treat all patients with indications ...