What dose do you try to keep the contralateral breast when treating a PMRT inflammatory breast cancer that is extending across midline?

You follow the principal of ALARA as it is more important to control aggressive IBC and you need to treat volume required adequately.

I agree with @Dr. First Last. In fact the medial portion of the contralateral breast (or chest wall if a contralateral mastectomy was pursued) may even be considered part of the clinical target volume if gross disease present at diagnosis actually extended past midline. Given the spread of inflammat...