Methods
WBI + RNI
Treat breast + upper 3
intercostal IM, SC and level 3
AX nodes
IMN volume treated with a
modified wide tangent
technique or direct field
matched to tangent fields
Aim to include IMN + 1cm with
the 80% isodose, 50 Gy
SC and level 3 AX nodes treated
with an anterior field
Dose to the breast and boost
irradiation 50 Gy/25 fr + 10-16
Gy boost
Dose to the periclavicular nodes:
45 Gy/25 fractions




