The treatment of acute skin reactions is historically a morass, with most centers and physicians (including ourselves) doing different things based on limited evidence and lots of hoary mythology. The myth that most bothers me is patients being told not to use moisturizers before treatment. A phanto...

In my practice, I offer either mepitel or mometasone as prophylaxis in my IBC patients. The decision between the two may be influenced by out-of-pocket expenses (mepitel) and an extra nursing visit for application (mepitel). If we use Mometasone, a topical hydrating cream is used as well. Aquafor or...

When delivering adjuvant radiation in a patient with inflammatory breast cancer, my practice is to use daily bolus as long as tolerated. We counsel patients on the risk of increased skin toxicities and start with moisturizing creams and based on reaction, can transition to regimens that include sil...

We manage these as any PMRT patient. Variation among providers in preventative mometasone or observation. Variation among providers for mepitel use prophylactically (I use it in the IMC region of all 3D cases). Aquaphor, nutrashield, or similar cream when xerosis or pigmentation starts. Mepitel once...

I realize there are conflicting opinions and results with reference to calendula, but I still use it regularly. The original trial in JCO (Pommier et al., PMID 15084618) was very compelling. In terms of just practical experience, I've tried StrataXRT and others, like regenecare, but the others don't...