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How to improve cosmetic outcome ?
RT factors:
1. Optimize dose – homogeneity
2. Dose as low as considered to be oncologically safe
•
Hypofx 15 x 2.67 Gy instead of 25 x 2 Gy
•
Minimize indications for a boost – only in case of heavy risk
factors
3. If a boost is required: minimize the irradiated boost volume
several strategies to minimize boost volume !