What strategies do you use for dose escalation when irradiating patients with inflammatory breast cancer?
Do you ever use BID fractionation? What patient factors do you use to individualize the treatment?
Answer from: Radiation Oncologist at Community Practice
I usually treat with conventional 2Gy to 25 fractions followed by 10 gy boost to scar area. In patients with a poor response to chemo, consider increasing the boost to 16 Gy. If they have any prechemo nodes like IM node or supraclav nodes, then boost the involoved node to higher total dose of ...