How would you manage a patient needing PMRT with a history of severe burn to the chest?
If a skin flap was required due to necrosis after the mastectomy, would you still provide PMRT assuming the patient is high risk?
Answer from: Radiation Oncologist at Academic Institution
In these cases, its important to consider risk and benefit. I would also discuss with the plastic surgeon with respect to skin flap.
If the patient has advanced disease, I would offer PMRT, but counsel patient on increased toxicity risk and risk of infection. I would try to quantify improvement in ...