ESTRO Multidisciplinary Management of Breast Cancer 2017

How to improve cosmetic outcome ?

RT factors:

1. Optimize dose – homogeneity

2. Dose as low as considered to be oncologically safe • Hypofx 15 x 2.67 Gy instead of 25 x 2 Gy •

Minimize indications for a boost – only in case of heavy risk factors

3. If a boost is required: minimize the irradiated boost volume

 several strategies to minimize boost volume !