Abstract

In contrast to most other indications in radiation oncology, many adhere to field-based techniques based on bony landmarks for breast cancer radiation therapy (RT), representing approximately 25% of the department’s workload [1]. Similarly, the boost volume often is considered erroneously as the “surgical bed” including visible surgical changes, without full understanding of the “tumour bed” concept, often leading to excessively large boost volumes. Therefore, the analysis by Thomsen et al., of the relation between breast induration grade 2–3 at 3 years after RT and the irradiated breast volume, using the data from the Danish Breast Cancer Group (DBCG) phase III prospective trial comparing whole breast irradiation (WBI) with partial breast irradiation (PBI) [2] [cite as additional reference: Thomsen et al, Radiother Oncol 2022] is extremely relevant.

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