How would you design chest wall boost in a patient who underwent mastectomy with a Wise-pattern incision?
Our breast surgeons are increasingly using Wise-pattern mastectomy for improved cosmetic outcomes. Expanding the scars by 2 cm, especially along the inframammary incision, doesn't seem to make the most sense. In a patient who has clearly indication for boost, for example, young age, extensive LVSI, triple negative, close margin, what would be a reasonable boost field?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · University of Colorado School of Medicine
Answered on · Updated on
Great question. We've all dealt with this scenario clinically. I'll first point out that there is no prospective data for use of chest wall boost in the post-mastectomy setting. The most common location of recurrence following mastectomy is the flap skin, and the most common subsite, but not always,...
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