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Would you offer the UK FAST Forward regimen to a patient with prior breast augmentation?

Is there data to guide you? Is there any reason to believe that there is an increased risk of complications in patients with prior breast implant from 26/5 vs 40/15?
2 Answers
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Radiation Oncology · Allegheny Health Network, Pittsburgh
Answered on

With a prior breast augmentation, I would not offer FAST-Forward regimen given the lack of data. I am not aware of data with the regimen and breast augmentation.

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Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

There is no data but by rationale, outcome may be similar. No matter what fractionation we use, there is increased risk of contracture and poor cosmetic outcome. For that reason, I prefer APBI if disease is suitable to decrease exposure and reduce risk of worsening of cosmetic outcome.

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