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Cosmetic results after breast conserving therapy

Which factors play a role ? Several RCTs to investigate impact of:

Factor studied

Impact on cosmesis

Conclusion

Hypofx

No change in breast

appearance

No boost vs low boost

No boost better than boost

Hypofx:

Whelan 2008; Haviland 2013;

Prone vs supine:

Veldeman 2016;

2D CRT vs IMRT:

Pignol 2016; Mukesh 2014;

No vs low boost:

Vrieling 1999 & 2000, Hau 2013;

Low vs high

boost

: Brouwers 2016;

PBI vs WBRT:

Polgar 2017, Coles 2017, Peterson 2015