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)




