Advanced TP

Breast Conserving Therapy  Radiation therapy is adjuvant in breast conserving strategies:  Whole breast following lumpectomy.

 Potential side effects:  Acute: painful erythema & desquamation.

 Chronic: hyper-pigmentation, fibrosis, fat necrosis, pain.  Long term risks: heart disease and secondary cancers

 Control the incidence and severity of side effects:  Optimize geometry  Minimize “ hot spots ”  Increase treatment duration (5 to 7 weeks).