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Breast cancer

III – Residual breast

o

Improve survival and reduce local recurrence

o

resemble mastectomy

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Ipsilateral residual breast tissue on CT = CTV

o

Interobserver variation larger than for tumour bed

o

Local guidelines mandatory

2015/may/29

NYU 05-181, a prospective trial of 400 breast cancer

patients simulated and planned both supine and

prone to achieve optimal normal tissue sparing