Would you recommend APBI in a suitable candidate if they have pre-existing breast implants?

Assume you have good margins and the cavity abuts the implant. Are there any specialized techniques that you would recommend?

Answer from: Radiation Oncologist at Community Practice

I have not done it but there is good data of using interstitial brachy for APBI in these patients from Dr Kuske. I have used SAVI and there are reports of using SAVI device as they can be used for small cavity which most of these patients have. I can cover the prescription isodose line up to the cap...

Comments

Radiation Oncologist at Palo Alto Medical Foundation
Thank you. Has anyone seen increased complications...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Not cancer outcome but potential effect on implant...

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Would you recommend APBI in a suitable candidate if they have pre-existing breast implants?

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