If treating a patient with prior breast augmentation with whole breast radiation, would you alter your field setup?
For standard tangential radiation would you pull the field edge forward to avoid radiation dose to the entire implant?
Answer from: Radiation Oncologist at Academic Institution
With prior breast augmentation, I think you have a few options.
Whole breast irradiation with tangents - I typically cover the entire chest wall and don't move the field edge forward. With respiratory motion (unless using DIBH or other respiratory techniques), I do worry about missing areas at ri...
Comments
Radiation Oncologist at Edward-Elmhurst Health I have a lady in her 50s with an R breast IDC, pT1...
Radiation Oncologist at Varian Medical Systems/Allegheny health network If the implant is behind pectoral, then CTV is bre...
Radiation Oncologist at Cleveland Clinic Agree with @Sushil Beriwal. I have treated cases l...
Radiation Oncologist at Edward-Elmhurst Health Thank you!
Answer from: Radiation Oncologist at Academic Institution
In general, I believe the key is continuing to make sure that you are covering your entire target, which includes the area behind the implant (in whole breast radiation). I would not cover only the breast tissue anterior to the implant in the whole breast setting. Field arrangement should be perform...
Comments
Radiation Oncologist at Varian Medical Systems/Allegheny health network It is a function whether implant is pre or retrope...
Radiation Oncologist at University of Texas Medical Branch I would use DIBH in these patients too.
Radiation Oncologist at Varian Medical Systems/Allegheny health network Also have used localized Bolus on surgical bed are...
Radiation Oncologist at Texas Oncology-Arlington Cancer Center North @Sushil Beriwal, how does the location of the impl...
I have a lady in her 50s with an R breast IDC, pT1...
If the implant is behind pectoral, then CTV is bre...
Agree with @Sushil Beriwal. I have treated cases l...
Thank you!