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Topics:
Breast Cancer • Radiation Oncology
If you are unable to meet V50% dose constraint for partial breast irradiation, do you revert to whole breast treatment?
In patients with small breasts and large lumpectomy cavities, is there a benefit to switching to whole breast if you can produce a very homogenous partial breast plan?
Answer from: Radiation Oncologist at Academic Institution
I believe you are referencing the V50 constraint in 5 fraction PBI based on the uninvolved breast volume.In cases where this is the situation, I first see how much I am exceeding the criteria by, if it's not a lot, I will consider proceeding with 30/5. If it's significantly exceeded, one option I co...
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Answer from: Radiation Oncologist at Community Practice
Our preference for this situation is FAST-Forward dose and fractionation (26 in 5 to whole breast).