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Breast Cancer • Radiation Oncology
How should bolus be utilized with different types of surgical reconstruction?
Do you have a formalized approach, or is it a case by case decision? Do you use bolus differently for a TRAM, tissue expanders, implants, etc?
Answer from: Radiation Oncologist at Community Practice
We currently use 5 mm bolus routinely with a TRAM, expander or implant and discontnue the bolus once grade 2 erythema develops which is usually close to halfway through the treatment. For these patients, unlike routine PMRT, we do look into dose homogeneity with the plan (using mixed beam energy) an...
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