What total dose do you use for a close and positive breast cancer margin that cannot be re-excised?   

For conventional fractionation, should one increase total dose above 60 Gy for either close or positive margin (invasive or DCIS). What about for accelerated fractionation? 



Answer from: Radiation Oncologist at Community Practice
Comments
Radiation Oncologist at Kaiser Permanente
For a patient with a close margin (< 1mm ), is a b...
Radiation Oncologist at CCare
Also wondering this.
Radiation Oncologist at Cleveland Clinic
No, I typically don't boost more. With margin defi...
Radiation Oncologist at Lake Huron Medical Center
It is very hard to clear residual disease even wit...
Radiation Oncologist at Columbia University Medical Center/ New York Presbyterian / Hudson Valley Hospital
@Sushil Beriwal I am having trouble finding the po...
Radiation Oncologist at Varian Medical Systems/Allegheny health network
Numbers are not SS as the sample size is very smal...
Radiation Oncologist at Columbia University Medical Center/ New York Presbyterian / Hudson Valley Hospital
@Sushil Beriwal Thanks - can you direct me to wher...
Radiation Oncologist at Varian Medical Systems/Allegheny health network
Can look at graph and also look at positive margin...
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Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at Mon Health
Thank you.
Radiation Oncologist at West Virginia University
Old data from MCV/VCU (Wazer et al., PMID 9531370)...
Radiation Oncologist at Columbia University Medical Center/ New York Presbyterian / Hudson Valley Hospital
@Jondavid Pollock Thanks!
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