Postoperative radiotherapy for breast cancer: UK consensus ...
rcr.ac.uk
Postoperative radiotherapy for breast cancer: UK consensus statements
November 2016
Faculty of Clinical Oncology
rcr.ac.uk
Contents
UK consensus statements
3
Introduction
5
Why standards of care are needed ? the
patient/public perspective
5
Who this document is for
5
How this document was produced
5
1. Cardiac sparing
7
Background
7
Key points from consensus meeting:
8
Key references:
8
2. Breast boost radiotherapy after breast-
conserving surgery
9
Background and discussion
9
Key points from consensus meeting
11
Key references:
12
3. Safe omission of radiotherapy after breast-
conserving surgery
13
Background
13
Key points from consensus meeting
14
Key references
14
4. Internal mammary chain radiotherapy 15
Background
15
Key points from consensus meeting
16
Key references
16
5. Hypofractionation
17
Please note that updated consensus statements
on hypofractionation were published by the RCR
on 13 May 2021. The 2021 statements should be
read in conjunction with the statements in this
document.
Background
17
Key points from consensus meeting
17
Key references
18
6. Axillary management of sentinel lymph
node-positive disease
19
Background
19
Key points from consensus meeting
20
Key references
21
7. Partial breast radiotherapy after breast-
conserving surgery
22
Background
22
Key points from consensus meeting
23
Key references
23
Conclusion
24
Acknowledgements
25
Membership of core group
25
3
rcr.ac.uk
UK consensus statements
Cardiac sparing
Cardiac-sparing radiotherapy should be considered the standard of care for patients with left-sided breast cancer.
The heart should routinely be excluded from the radiotherapy field. All UK radiotherapy departments should have a breath-hold technique available. A target mean heart dose would help departments to implement breath-hold. In left-breast-affected patients undergoing radiotherapy not including the internal mammary chain (IMC),
>90% of patients should be treated to a mean heart dose of ................
................
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