Is hypofractionation ever appropriate in women with early stage breast cancer and latent lupus who have never experienced skin symptoms in their lifetime?  

Do you always stick with a conventional fracionation, or in some cases, are you comfortable hypofractionating? Do you ever use a wait and see approach, starting with hypofrac, and then decreasing dose/fraction if a bad reaction develops?

Answer from: Radiation Oncologist at Community Practice
Radiation Oncologist at Columbia University Medical Center/ New York Presbyterian / Hudson Valley Hospital
Thanks so much, very helpful!
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