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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