How would you treat a patient who has a large DCIS status post mastectomy and implant with extensive positive margins?

Does the permanent implant change your dose?

Answer from: Radiation Oncologist at Community Practice

I would treat with PMRT to 50 Gy in 25 fractions followed by boost as it looks like the patient has a significant margin positive.Based on the location of implant (pre pectoral or retro pectoral) contouring and at risk volume is different. The consensus guidelines addresses this: https://w...

Comments

Radiation Oncologist at Cleveland Clinic
Agreed, I would use 50/25 to chest wall only and b...

Radiation Oncologist at Bismarck Cancer Center
Agree with @Sushil Beriwal & @Chirag...

Radiation Oncologist at Good Samaritan Hospital
@Sushil Beriwal and @Chirag S. Shah What is y...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
for implant patient i don't perform scar boost. If...

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How would you treat a patient who has a large DCIS status post mastectomy and implant with extensive positive margins?

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