Are you offering hypofractionated comprehensive nodal irradiation following neoadjuvant chemotherapy for patients with locally advanced breast cancer in the setting of COVID-19?

Topics: Breast Cancer • Radiation Oncology • COVID-19

Answer from: Radiation Oncologist at Academic Institution

In locally advanced breast cancer following neoadjuvant chemotherapy, we are offering hypofractionated radiation to the breast and regional nodes, and flat chest wall and regional nodes. In these cases, I treat to 40 Gy/15 fractions. For nodal coverage, I like to see 38 Gy line covering nodal basins...

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Radiation Oncologist at Kaiser Permanente
What about if there is an undissected high axillar...

Radiation Oncologist at Cleveland Clinic
If there are gross undissected involved nodes, I h...

Answer from: Radiation Oncologist at Community Practice

We are routinely offering hypofractionation outside COVID also, unless the patient has inflammatory breast cancer or plans for reconstruction.

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