TVD 2017

CTV IM: INDICATIONS

• Controversy: • IN FAVOR: decreases LR Freedman / Gustave-Roussy / Veronessi / Hos t • AGAINST: No decreases LR; fibrosis, cardiotoxicity Fowble / Obedian

RT IM if SN (+) (histologically confirmed) in IM Locally advanced disease, medial tumour with positive axillary nodes

Trials: EORTC 22922 / Canadian NCIC MA20