Postmastectomy chest wall irradiation
RATIONALE
decrease in the rate of locoregional recurrence
SITES
50% Chest wall esp scar
40 % supraclavicular/infraclavicular region
Level I/ II Axill
Adequate dissction
2-4% % in 10 yrs
NO XRT
inadequate
High
XRT
internal mammary nodes
controversial
Subtopic
increase in long-term survival.
INDICATION
Subtopic