Postmastectomy chest wall irradiation

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Postmastectomy chest wall irradiation

Main topic

INDICATION

RATIONALE

increase in long-term survival.

decrease in the rate of locoregional recurrence

Subtopic

SITES

internal mammary nodes

controversial

Level I/ II Axill

inadequate

High

XRT

Adequate dissction

2-4% % in 10 yrs

NO XRT

40 % supraclavicular/infraclavicular region

50% Chest wall esp scar