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Topics:
Breast Cancer • Radiation Oncology
Would you recommend PMRT using a hypofractionated course to the chest wall and nodes?
Would you recommend this if we were treating level I/II?
Answer from: Radiation Oncologist at Community Practice
At Banner MDACC, we transitioned to 20 fractions (15 fx followed by a 5 fx boost), based on the in-house MDACC protocol during peak COVID in April 2020. This is for most PMRT patients, but does not typically include inflammatory breast cancer patients.The interesting thing (anecdotally) is that the ...
Comments
Radiation Oncologist at Baylor Scott & White Health
I have used 40.05/15 for the breast or chest wall ...
I have used 40.05/15 for the breast or chest wall ...
Answer from: Radiation Oncologist at Community Practice
There is no doubt that acute skin reaction much less in comparison to 50 in 25 Gy as it is less total dose.
Comments
Radiation Oncologist at Lake Huron Medical Center
I didn’t think Chinese data showed that, tho...
I didn’t think Chinese data showed that, tho...
Radiation Oncologist at Varian Medical Systems/Allegheny health network
They didn’t, probably because of higher tota...
They didn’t, probably because of higher tota...
Radiation Oncologist at Mercy Health Johnson Family Cancer Center
How do you manage bolus with these patients? Do yo...
How do you manage bolus with these patients? Do yo...
Radiation Oncologist at Multicare
Do you ever use IMRT for left-sided breast or ches...
Do you ever use IMRT for left-sided breast or ches...
Radiation Oncologist at Varian Medical Systems/Allegheny health network
If skin is not involved, then we use bolus for fir...
If skin is not involved, then we use bolus for fir...
Radiation Oncologist at Jacob E Locke MD PA
While the data is enticing, for community practice...
While the data is enticing, for community practice...
Radiation Oncologist at Cleveland Clinic
For patients requiring PMRT without reconstruction...
For patients requiring PMRT without reconstruction...
Radiation Oncologist at Lake Huron Medical Center
As noted by a member above and surveying colleague...
As noted by a member above and surveying colleague...
Radiation Oncologist at Fort Bend Medical and Diagnostic Center
Why is hypofrac PMRT not given as an option yet in...
Why is hypofrac PMRT not given as an option yet in...
Radiation Oncologist at University of Miami Miller School of Medicine
It has been added to the NCCN guidelines for the a...
It has been added to the NCCN guidelines for the a...
Thanks, as always, for including the references.
I agree with @Sushil Beriwal. For patients not und...
Do you guys have any concerns about the direct app...
It is important heart and lung dosimetry is respec...
You bring up a good point, although the Chinese tr...
What about patients with an intact breast needing ...
Same principal as above.
We have been doing hypofx RNI for intact breast pa...
Could you provide the remaining dose constraints f...
Dose is low, so not a concern. This is what they ...