Abstract
Irradiation techniques are described which are adapted according to the types and extent of surgery which have been performed for operable breast cancer. Following a radical or modified radical mastectomy, the technique varies depending on the need to irradiate the axilla. Irradiation to the axilla is unnecessary if the axilla contained operable disease without histologic evidence of extranodal disease, and if the axillary dissection was surgically adequate. The chest wall is irradiated in those patients with a significant risk of recurrent disease in the chest wall. Following a total mastectomy or a wedge excision, the whole axilla must be irradiated. The chest wall or the retained breast is, of course, irradiated.
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