Can radiation to the breast be given in the setting of prior radiation for Hodgkin's lymphoma?

Topics: Breast Cancer • Radiation Oncology

Answer from: Radiation Oncologist at Community Practice

Based on previous dose and volume (as most people are getting ISRT and between 20-30 Gy), either whole breast or partial breast RT are usually options. One concern I have is the increase IBTR which is most likely new primary in these patients because of prior RT exposure (akin to BRCA mutation).&nbs...

Comments

Radiation Oncologist at Radiation Oncology of Rochester, PLLC
Thank you, Dr. @Sushil Beriwal. IBTR was our conce...

Radiation Oncologist at University of Chicago Pritzker School of Medicine
@Sushil Beriwal, would you consider 6 Gy x 5 APBI ...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
I have used 40 in 15 in a few patients I have done...

Answer from: Radiation Oncologist at Community Practice

I have offered these patients breast conservation with breast TARGIT-IORT with success.Here are some articles that include Hodgkin's patients who received mantle radiation and later developed a new breast cancer who then received TARGIT-IORT:Chin et al., PMID 28894694 Thangarajah et al., PMID 2...

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