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Would you recommend PMRT using a hypofractionated course to the chest wall and nodes?

Would you recommend this if we were treating level I/II?
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Do you routinely treat the chestwall and regional nodes with hypofractionated radiation?

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

With recent publication of Chinese data with median follow-up of 5 years showing no difference in any end point, we routinely offer hypofractionation to patients 65 and above with non inflammatory breast ca and no immediate reconstruction. For patients who have reconstruction done or planned, we enr...

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Radiation Oncology · Michigan Healthcare Professionals, PC
Answered on

At Banner MDACC, we transitioned to 20 fractions (15 fx followed by a 5 fx boost), based on the in-house MDACC protocol during peak COVID in April 2020. This is for most PMRT patients, but does not typically include inflammatory breast cancer patients.

The interesting thing (anecdotally) is that the ...

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Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

There is no doubt that acute skin reaction much less in comparison to 50 in 25 Gy as it is less total dose.

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