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What strategies do you use for dose escalation when irradiating patients with inflammatory breast cancer?

Do you ever use BID fractionation? What patient factors do you use to individualize the treatment?
1 Answer
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Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

I usually treat with conventional 2Gy to 25 fractions followed by 10 gy boost to scar area. In patients with a poor response to chemo, consider increasing the boost to 16 Gy. If they have any prechemo nodes like IM node or supraclav nodes, then boost the involoved node to higher total dose of 56 to 66 Gy based on response to chemo and size of residual node.

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