How does implant breast reconstruction/augmentation at the time of lumpectomy affect your adjuvant radiotherapy approach?  

Do the same concerns as post-mastectomy radiation of implants apply?

There are some small case series' (https://www.ncbi.nlm.nih.gov/pubmed/21346535 DOI:10.1097/SAP.0b013e3181f8caf1 and https://www.ncbi.nlm.nih.gov/pubmed/27536475 DOI:10.1097/GOX.0000000000000800) of women who undergo reconstruction with implants after lumpectomy and radiation therapy, but data about women who undergo this procedure upfront, prior to radiation seems to be lacking.



Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at Rush University Medical Center
25% contracture seems pretty high. I would go with...
Radiation Oncologist at Vanderbilt-Ingram Cancer Center
Only 59% of patients received hypofx WBI on that e...
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Answer from: Radiation Oncologist at Community Practice
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Radiation Oncologist at Comprehensive Cancer Centers of Nevada
I have done a handful of cases with hypofractionat...
Radiation Oncologist at Varian Medical Systems/Allegheny health network
This was in 2017 and with more data, we routinely ...
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Answer from: Radiation Oncologist at Academic Institution