CTV IM: INDICATIONS
•
Controversy
•
IN FAVOR:
↓
LR
Freedman / Gustave-Roussy / Veronessi / Hos
t
•
AGAINST:
No
↓
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