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

I believe the question may be regarding cosmetic augmentation at the time of lumpectomy, which is not something we see standardly at our institution. I agree that conventional or hypofractionated RT based on the PMRT data would be reasonable in that setting.

In patients with breast augmentation prio...

We have done quite a few patients with adjuvant RT who had previous breast augmentation. I have used 45 Gy in 25 fractions followed by boost and make sure dose homogeneity is achieved and hot spots are lmited and small to decrease risk of contracture.

If early stage favorable breast cancer, I have used partial breast (40 Gy/15 fractions) to avoid dose to the augmentation if can visualize the cavity.

If not, I agree with Dr. @Dr. First Last and have used standard fractionation with consideration of hypofractionation based on PMRT Phase II study (Kh...