Can radiation to the breast be given in the setting of prior radiation for Hodgkin's lymphoma?
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
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).
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Mednet Member
Radiation Oncology · Sutter Health N. Cal
Answered on
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:
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