If treating a patient with prior breast augmentation with whole breast radiation, would you alter your field setup?

Topics: Breast Cancer • Radiation Oncology

For standard tangential radiation would you pull the field edge forward to avoid radiation dose to the entire implant?

Answer from: Radiation Oncologist at Academic Institution

With prior breast augmentation, I think you have a few options. 1. Whole breast irradiation with tangents- I typically cover the entire chest wall and don't move the field edge forward. With respiratory motion (unless using DIBH or other respiratory technique), I do worry about missing areas at ris...

Comments

Radiation Oncologist at Edward-Elmhurst Health
I have a 54yo lady with a R breast IDC, pT1b N0 cM...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
If the implant is behind pectoral, then CTV is bre...

Radiation Oncologist at Cleveland Clinic
Agree with @Sushil Beriwal. I have treated cases l...

Radiation Oncologist at Edward-Elmhurst Health
Thank you!

Answer from: Radiation Oncologist at Community Practice

https://www.ncbi.nlm.nih.gov/pubmed/28939351

Answer from: Radiation Oncologist at Academic Institution

In general, I believe the key is continuing to make sure that you are covering your entire target, which includes the area behind the implant (in whole breast radiation). I would not cover only the breast tissue anterior to the implant in the whole breast setting. Field arrangement should be perform...

Comments

Radiation Oncologist at Varian Medical Systems/Allegheny health network
It is a function whether implant is pre or retrope...

Radiation Oncologist at University of Texas Medical Branch
I would use DIBH in these patients too.

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Also have used localized Bolus on surgical bed are...

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