Does a post-surgical hematoma in the breast affect your recommendations for partial breast RT?

Is there a risk that the bleeding could cause microscopic spread of disease outside the lumpectomy cavity (and therefore your CTV/PTV)?

Answer from: Radiation Oncologist at Community Practice

More than seeding, the driving factor is the size of the hematoma. If small, it can proceed as planned with RT, but if large, sometimes it needs drainage or evacuation to help with healing. Any adjuvant RT treatment is driven by healing post-intervention for these large hem...

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Radiation Oncologist at Mon Health
Is there an approximate size criterion for large v...

Answer from: Radiation Oncologist at Academic Institution

I would give the patient some time for the hematoma to resolve, but if the patient is otherwise eligible for partial breast RT, this would not change my management. I may consider larger CTV margins in this case.

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Radiation Oncologist at Mallory Radiotherapy, PLLC
I prefer to switch to the 40/15 PBI regimen in the...

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Does a post-surgical hematoma in the breast affect your recommendations for partial breast RT?

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