What is your practice for the use of bolus in patients with breast cancer who had mastectomy and expander placement?

We still treat with bolus on these patients (0.3cm QOD for first 10 days), however, a retrospective review was published in the Red Journal recently that is interesting.

In this review, >1500 patients were treated with bolus, 318 had no bolus (basically, half of the reconstructed patients). There was...

We use a custom aquaplast bolus daily, which is about 3mm equivalent. If that's not available, 5mm qod. However, if the indication of PMRT is mostly nodes and the primary was small and removed without adverse features then I skip bolus. Like Dr. @Dr. First Last mentioned, it's unclear if bolus does ...

We typically use bolus in these cases. For standard fractionation (50/25), we use bolus for the 1st 13 fractions and then remove for last 12 fractions over the chest wall.