ESTRO Multidisciplinary Management of Breast Cancer 2017

Which factors have all been mentioned to influence cosmetic outcome and/or fibrosis ?

• Treatment related factors: • Radiotherapy:

• Boost volume, dose inhomogeneity, V55Gy, Dmax, V107, V110, IMRT, Prone vs supine, boost dose • Surgery • Post-operative complications like infection, hematoma, seroma • Baseline cosmesis after surgery – prior to RT, location of the tumor, time between surgery and radiotherapy • Oncoplastic surgery • Chemotherapy/ hormonal therapy • Yes/no • Concurrent/ sequential • Patient related factors: • Age, BMI, smoking, diabetes, breast size, Bra size, pain..