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Supra-Clavicular RT

Rationale:

– Risk of level III or supra-clavicular involvement is

if axillary LN involved

Clinical series:

– With RT, LR < 5%

– Usually offered >3 axillary LN+

Dose schedule:

– 50Gy/25

– 40Gy/15

Technique:

– Direct anterior field, prescribed at 3cm depth (though ideally

individualised)