ESTRO Multidisciplinary Management of Breast Cancer 2017

Timing of RT and reconstruction TE/implant

Gets even MORE confusing…

RT doses were not uniformly reported Use of bolus Use of Boost

Momoh, Ann Surg Onc 2014

Total dose 50 Gy (range 45–60), including boost, 1.8-2 Gy per fx, 4–6-MV photons and wedges, without any bolus (Tallet et al, 2003)

Total dose 50 -50.4 Gy, 1.8-2 Gy per fx, no boost, daily bolus 0.5-1 cm, IMRT after 2002 (Ho, 2012 & 2014)