Microsoft PowerPoint - TVD2017_Intro_VK_ws

CTV IM: INDICATIONS

• Controversy:

• IN FAVOR: decreases LR

Freedman / Gustave-Roussy / Veronessi / Hos

•

AGAINST:

No decreases LR; fibrosis, cardiotoxicity

Fowble / Obedian

RT IM if SN (+) (histologically confirmed) in IM

Locally advanced disease, medial tumour with positive axillary

nodes

Trials: EORTC 22922 /

Canadian

NCIC MA20