Locoregional Outcomes of Inflammatory Breast Cancer Patients Treated With Standard Fractionation Radiation and Daily Skin Bolus in the Taxane Era

Purpose To assess locoregional outcomes of inflammatory breast cancer (IBC) patients who received standard fractionation radiation with daily skin bolus and taxanes as part of combined-modality therapy (CMT). Methods and Materials We retrospectively reviewed the charts of 107 patients diagnosed with...

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Veröffentlicht in:International journal of radiation oncology, biology, physics biology, physics, 2010-07, Vol.77 (4), p.1105-1112
Hauptverfasser: Damast, Shari, M.D, Ho, Alice Y., M.D, Montgomery, Leslie, M.D, Fornier, Monica N., M.D, Ishill, Nicole, M.S, Elkin, Elena, Ph.D, Beal, Kathryn, M.D, McCormick, Beryl, M.D
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container_end_page 1112
container_issue 4
container_start_page 1105
container_title International journal of radiation oncology, biology, physics
container_volume 77
creator Damast, Shari, M.D
Ho, Alice Y., M.D
Montgomery, Leslie, M.D
Fornier, Monica N., M.D
Ishill, Nicole, M.S
Elkin, Elena, Ph.D
Beal, Kathryn, M.D
McCormick, Beryl, M.D
description Purpose To assess locoregional outcomes of inflammatory breast cancer (IBC) patients who received standard fractionation radiation with daily skin bolus and taxanes as part of combined-modality therapy (CMT). Methods and Materials We retrospectively reviewed the charts of 107 patients diagnosed with IBC between January 1995 and March 2006 who presented to our department for adjuvant radiation therapy (RT). Results All patients received chemotherapy (95% anthracycline and 95% taxane), modified radical mastectomy, and RT to the chest wall and regional lymphatics using standard fractionation to 50 Gy and daily skin bolus. The RT to the chest wall was delivered via electrons (55%) or photons (45%) in daily fractions of 180 cGy (73%) or 200 cGy (27%). Scar boost was performed in 11%. A majority (84%) of patients completed the prescribed treatment. Median follow-up was 47 months (range, 10–134 months). Locoregional control (LRC) at 3 years and 5 years was 90% and 87%, respectively. Distant metastases–free survival (DMFS) at 3 years and 5 years was 61% and 47%, respectively. Conclusions Excellent locoregional control was observed in this population of IBC patients who received standard fractionation radiation with daily skin bolus and taxanes as part of combined-modality therapy. Distant metastases–free survival remains a significant therapeutic challenge.
doi_str_mv 10.1016/j.ijrobp.2009.06.042
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Methods and Materials We retrospectively reviewed the charts of 107 patients diagnosed with IBC between January 1995 and March 2006 who presented to our department for adjuvant radiation therapy (RT). Results All patients received chemotherapy (95% anthracycline and 95% taxane), modified radical mastectomy, and RT to the chest wall and regional lymphatics using standard fractionation to 50 Gy and daily skin bolus. The RT to the chest wall was delivered via electrons (55%) or photons (45%) in daily fractions of 180 cGy (73%) or 200 cGy (27%). Scar boost was performed in 11%. A majority (84%) of patients completed the prescribed treatment. Median follow-up was 47 months (range, 10–134 months). Locoregional control (LRC) at 3 years and 5 years was 90% and 87%, respectively. Distant metastases–free survival (DMFS) at 3 years and 5 years was 61% and 47%, respectively. Conclusions Excellent locoregional control was observed in this population of IBC patients who received standard fractionation radiation with daily skin bolus and taxanes as part of combined-modality therapy. Distant metastases–free survival remains a significant therapeutic challenge.</description><identifier>ISSN: 0360-3016</identifier><identifier>EISSN: 1879-355X</identifier><identifier>DOI: 10.1016/j.ijrobp.2009.06.042</identifier><identifier>PMID: 19879068</identifier><identifier>CODEN: IOBPD3</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject><![CDATA[Adenocarcinoma - drug therapy ; Adenocarcinoma - radiotherapy ; Adenocarcinoma - surgery ; Adjuvants ; Adult ; Aged ; Aged, 80 and over ; Antineoplastic Combined Chemotherapy Protocols - therapeutic use ; ANTINEOPLASTIC DRUGS ; Biological and medical sciences ; BODY ; Breast Neoplasms - drug therapy ; Breast Neoplasms - radiotherapy ; Breast Neoplasms - surgery ; Capecitabine ; Carboplatin - administration & dosage ; Combined modality treatment ; Cyclophosphamide - administration & dosage ; Deoxycytidine - administration & dosage ; Deoxycytidine - analogs & derivatives ; Disease-Free Survival ; DISEASES ; Dose Fractionation ; Doxorubicin - administration & dosage ; Drug Administration Schedule ; DRUGS ; Epirubicin - administration & dosage ; Female ; Fluorouracil - administration & dosage ; Fluorouracil - analogs & derivatives ; FRACTIONATED IRRADIATION ; GLANDS ; Gynecology. Andrology. Obstetrics ; Hematology, Oncology and Palliative Medicine ; Humans ; INFLAMMATION ; Inflammatory breast cancer ; IRRADIATION ; Mammary gland diseases ; MAMMARY GLANDS ; Mastectomy, Modified Radical ; Medical sciences ; MEDICINE ; Middle Aged ; Neoadjuvant Therapy - methods ; NEOPLASMS ; NUCLEAR MEDICINE ; ORGANS ; Paclitaxel - administration & dosage ; PATHOLOGICAL CHANGES ; Radiation ; Radiodermatitis - etiology ; RADIOLOGY ; RADIOLOGY AND NUCLEAR MEDICINE ; RADIOTHERAPY ; Radiotherapy, Adjuvant - adverse effects ; Retrospective Studies ; SKIN ; Standard fractionation ; SYMPTOMS ; Taxanes ; THERAPY ; Tumors]]></subject><ispartof>International journal of radiation oncology, biology, physics, 2010-07, Vol.77 (4), p.1105-1112</ispartof><rights>Elsevier Inc.</rights><rights>2010 Elsevier Inc.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright 2010 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c552t-e4e6197f5c9f9df5cad9a99b9f9a46db2fa38c5fb35a9455397ca051dbe500813</citedby><cites>FETCH-LOGICAL-c552t-e4e6197f5c9f9df5cad9a99b9f9a46db2fa38c5fb35a9455397ca051dbe500813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.ijrobp.2009.06.042$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,315,781,785,886,3551,27929,27930,46000</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=22973232$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19879068$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://www.osti.gov/biblio/21436079$$D View this record in Osti.gov$$Hfree_for_read</backlink></links><search><creatorcontrib>Damast, Shari, M.D</creatorcontrib><creatorcontrib>Ho, Alice Y., M.D</creatorcontrib><creatorcontrib>Montgomery, Leslie, M.D</creatorcontrib><creatorcontrib>Fornier, Monica N., M.D</creatorcontrib><creatorcontrib>Ishill, Nicole, M.S</creatorcontrib><creatorcontrib>Elkin, Elena, Ph.D</creatorcontrib><creatorcontrib>Beal, Kathryn, M.D</creatorcontrib><creatorcontrib>McCormick, Beryl, M.D</creatorcontrib><title>Locoregional Outcomes of Inflammatory Breast Cancer Patients Treated With Standard Fractionation Radiation and Daily Skin Bolus in the Taxane Era</title><title>International journal of radiation oncology, biology, physics</title><addtitle>Int J Radiat Oncol Biol Phys</addtitle><description>Purpose To assess locoregional outcomes of inflammatory breast cancer (IBC) patients who received standard fractionation radiation with daily skin bolus and taxanes as part of combined-modality therapy (CMT). Methods and Materials We retrospectively reviewed the charts of 107 patients diagnosed with IBC between January 1995 and March 2006 who presented to our department for adjuvant radiation therapy (RT). Results All patients received chemotherapy (95% anthracycline and 95% taxane), modified radical mastectomy, and RT to the chest wall and regional lymphatics using standard fractionation to 50 Gy and daily skin bolus. The RT to the chest wall was delivered via electrons (55%) or photons (45%) in daily fractions of 180 cGy (73%) or 200 cGy (27%). Scar boost was performed in 11%. A majority (84%) of patients completed the prescribed treatment. Median follow-up was 47 months (range, 10–134 months). Locoregional control (LRC) at 3 years and 5 years was 90% and 87%, respectively. Distant metastases–free survival (DMFS) at 3 years and 5 years was 61% and 47%, respectively. Conclusions Excellent locoregional control was observed in this population of IBC patients who received standard fractionation radiation with daily skin bolus and taxanes as part of combined-modality therapy. Distant metastases–free survival remains a significant therapeutic challenge.</description><subject>Adenocarcinoma - drug therapy</subject><subject>Adenocarcinoma - radiotherapy</subject><subject>Adenocarcinoma - surgery</subject><subject>Adjuvants</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</subject><subject>ANTINEOPLASTIC DRUGS</subject><subject>Biological and medical sciences</subject><subject>BODY</subject><subject>Breast Neoplasms - drug therapy</subject><subject>Breast Neoplasms - radiotherapy</subject><subject>Breast Neoplasms - surgery</subject><subject>Capecitabine</subject><subject>Carboplatin - administration &amp; dosage</subject><subject>Combined modality treatment</subject><subject>Cyclophosphamide - administration &amp; dosage</subject><subject>Deoxycytidine - administration &amp; dosage</subject><subject>Deoxycytidine - analogs &amp; derivatives</subject><subject>Disease-Free Survival</subject><subject>DISEASES</subject><subject>Dose Fractionation</subject><subject>Doxorubicin - administration &amp; dosage</subject><subject>Drug Administration Schedule</subject><subject>DRUGS</subject><subject>Epirubicin - administration &amp; dosage</subject><subject>Female</subject><subject>Fluorouracil - administration &amp; dosage</subject><subject>Fluorouracil - analogs &amp; derivatives</subject><subject>FRACTIONATED IRRADIATION</subject><subject>GLANDS</subject><subject>Gynecology. 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Obstetrics</subject><subject>Hematology, Oncology and Palliative Medicine</subject><subject>Humans</subject><subject>INFLAMMATION</subject><subject>Inflammatory breast cancer</subject><subject>IRRADIATION</subject><subject>Mammary gland diseases</subject><subject>MAMMARY GLANDS</subject><subject>Mastectomy, Modified Radical</subject><subject>Medical sciences</subject><subject>MEDICINE</subject><subject>Middle Aged</subject><subject>Neoadjuvant Therapy - methods</subject><subject>NEOPLASMS</subject><subject>NUCLEAR MEDICINE</subject><subject>ORGANS</subject><subject>Paclitaxel - administration &amp; dosage</subject><subject>PATHOLOGICAL CHANGES</subject><subject>Radiation</subject><subject>Radiodermatitis - etiology</subject><subject>RADIOLOGY</subject><subject>RADIOLOGY AND NUCLEAR MEDICINE</subject><subject>RADIOTHERAPY</subject><subject>Radiotherapy, Adjuvant - adverse effects</subject><subject>Retrospective Studies</subject><subject>SKIN</subject><subject>Standard fractionation</subject><subject>SYMPTOMS</subject><subject>Taxanes</subject><subject>THERAPY</subject><subject>Tumors</subject><issn>0360-3016</issn><issn>1879-355X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2010</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkt-K1DAUxoso7rr6BiIBEa9mTJqmbW4Ed9zVhYEVZ0Tvwmly6mS2bcYkFecxfGNTOih4szf5-zvfOcl3suw5o0tGWflmv7R775rDMqdULmm5pEX-IDtndSUXXIhvD7Nzyku64Ak-y56EsKeUMlYVj7MzJhNFy_o8-7122nn8bt0AHbkdo3Y9BuJacjO0HfQ9ROeP5NIjhEhWMGj05BNEi0MMZJuOIxry1cYd2UQYDHhDrj3oOAlOA_kMxs6rdE3eg-2OZHNnB3LpujGQtIg7JFv4BQOSKw9Ps0ctdAGfneaL7Mv11Xb1cbG-_XCzerdeaCHyuMACSyarVmjZSpMmMBKkbNIOitI0eQu81qJtuABZCMFlpYEKZhoUlNaMX2QvZ10XolVB24h6p90woI4qZ0X6u0om6vVMHbz7MWKIqrdBY9elat0YVCWKumaU5veTnJdC0LxOZDGT2rsQPLbq4G0P_qgYVZO3aq9mb9XkraKlSt6msBenBGPTo_kXdDIzAa9OAAQNXeuTWzb85fJcVjznk9DbmcP0vT8t-un1mJw11k-PN87eV8n_Arqzg0057_CIYe9Gn7opKKZCrqjaTH04tSGVSUQIyf8Aiz_aLg</recordid><startdate>20100715</startdate><enddate>20100715</enddate><creator>Damast, Shari, M.D</creator><creator>Ho, Alice Y., M.D</creator><creator>Montgomery, Leslie, M.D</creator><creator>Fornier, Monica N., M.D</creator><creator>Ishill, Nicole, M.S</creator><creator>Elkin, Elena, Ph.D</creator><creator>Beal, Kathryn, M.D</creator><creator>McCormick, Beryl, M.D</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>7U7</scope><scope>C1K</scope><scope>OTOTI</scope></search><sort><creationdate>20100715</creationdate><title>Locoregional Outcomes of Inflammatory Breast Cancer Patients Treated With Standard Fractionation Radiation and Daily Skin Bolus in the Taxane Era</title><author>Damast, Shari, M.D ; Ho, Alice Y., M.D ; Montgomery, Leslie, M.D ; Fornier, Monica N., M.D ; Ishill, Nicole, M.S ; Elkin, Elena, Ph.D ; Beal, Kathryn, M.D ; McCormick, Beryl, M.D</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c552t-e4e6197f5c9f9df5cad9a99b9f9a46db2fa38c5fb35a9455397ca051dbe500813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2010</creationdate><topic>Adenocarcinoma - drug therapy</topic><topic>Adenocarcinoma - radiotherapy</topic><topic>Adenocarcinoma - surgery</topic><topic>Adjuvants</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antineoplastic Combined Chemotherapy Protocols - therapeutic use</topic><topic>ANTINEOPLASTIC DRUGS</topic><topic>Biological and medical sciences</topic><topic>BODY</topic><topic>Breast Neoplasms - drug therapy</topic><topic>Breast Neoplasms - radiotherapy</topic><topic>Breast Neoplasms - surgery</topic><topic>Capecitabine</topic><topic>Carboplatin - administration &amp; dosage</topic><topic>Combined modality treatment</topic><topic>Cyclophosphamide - administration &amp; dosage</topic><topic>Deoxycytidine - administration &amp; dosage</topic><topic>Deoxycytidine - analogs &amp; derivatives</topic><topic>Disease-Free Survival</topic><topic>DISEASES</topic><topic>Dose Fractionation</topic><topic>Doxorubicin - administration &amp; dosage</topic><topic>Drug Administration Schedule</topic><topic>DRUGS</topic><topic>Epirubicin - administration &amp; dosage</topic><topic>Female</topic><topic>Fluorouracil - administration &amp; dosage</topic><topic>Fluorouracil - analogs &amp; derivatives</topic><topic>FRACTIONATED IRRADIATION</topic><topic>GLANDS</topic><topic>Gynecology. Andrology. Obstetrics</topic><topic>Hematology, Oncology and Palliative Medicine</topic><topic>Humans</topic><topic>INFLAMMATION</topic><topic>Inflammatory breast cancer</topic><topic>IRRADIATION</topic><topic>Mammary gland diseases</topic><topic>MAMMARY GLANDS</topic><topic>Mastectomy, Modified Radical</topic><topic>Medical sciences</topic><topic>MEDICINE</topic><topic>Middle Aged</topic><topic>Neoadjuvant Therapy - methods</topic><topic>NEOPLASMS</topic><topic>NUCLEAR MEDICINE</topic><topic>ORGANS</topic><topic>Paclitaxel - administration &amp; dosage</topic><topic>PATHOLOGICAL CHANGES</topic><topic>Radiation</topic><topic>Radiodermatitis - etiology</topic><topic>RADIOLOGY</topic><topic>RADIOLOGY AND NUCLEAR MEDICINE</topic><topic>RADIOTHERAPY</topic><topic>Radiotherapy, Adjuvant - adverse effects</topic><topic>Retrospective Studies</topic><topic>SKIN</topic><topic>Standard fractionation</topic><topic>SYMPTOMS</topic><topic>Taxanes</topic><topic>THERAPY</topic><topic>Tumors</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Damast, Shari, M.D</creatorcontrib><creatorcontrib>Ho, Alice Y., M.D</creatorcontrib><creatorcontrib>Montgomery, Leslie, M.D</creatorcontrib><creatorcontrib>Fornier, Monica N., M.D</creatorcontrib><creatorcontrib>Ishill, Nicole, M.S</creatorcontrib><creatorcontrib>Elkin, Elena, Ph.D</creatorcontrib><creatorcontrib>Beal, Kathryn, M.D</creatorcontrib><creatorcontrib>McCormick, Beryl, M.D</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>Toxicology Abstracts</collection><collection>Environmental Sciences and Pollution Management</collection><collection>OSTI.GOV</collection><jtitle>International journal of radiation oncology, biology, physics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Damast, Shari, M.D</au><au>Ho, Alice Y., M.D</au><au>Montgomery, Leslie, M.D</au><au>Fornier, Monica N., M.D</au><au>Ishill, Nicole, M.S</au><au>Elkin, Elena, Ph.D</au><au>Beal, Kathryn, M.D</au><au>McCormick, Beryl, M.D</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Locoregional Outcomes of Inflammatory Breast Cancer Patients Treated With Standard Fractionation Radiation and Daily Skin Bolus in the Taxane Era</atitle><jtitle>International journal of radiation oncology, biology, physics</jtitle><addtitle>Int J Radiat Oncol Biol Phys</addtitle><date>2010-07-15</date><risdate>2010</risdate><volume>77</volume><issue>4</issue><spage>1105</spage><epage>1112</epage><pages>1105-1112</pages><issn>0360-3016</issn><eissn>1879-355X</eissn><coden>IOBPD3</coden><abstract>Purpose To assess locoregional outcomes of inflammatory breast cancer (IBC) patients who received standard fractionation radiation with daily skin bolus and taxanes as part of combined-modality therapy (CMT). Methods and Materials We retrospectively reviewed the charts of 107 patients diagnosed with IBC between January 1995 and March 2006 who presented to our department for adjuvant radiation therapy (RT). Results All patients received chemotherapy (95% anthracycline and 95% taxane), modified radical mastectomy, and RT to the chest wall and regional lymphatics using standard fractionation to 50 Gy and daily skin bolus. The RT to the chest wall was delivered via electrons (55%) or photons (45%) in daily fractions of 180 cGy (73%) or 200 cGy (27%). Scar boost was performed in 11%. A majority (84%) of patients completed the prescribed treatment. Median follow-up was 47 months (range, 10–134 months). Locoregional control (LRC) at 3 years and 5 years was 90% and 87%, respectively. Distant metastases–free survival (DMFS) at 3 years and 5 years was 61% and 47%, respectively. Conclusions Excellent locoregional control was observed in this population of IBC patients who received standard fractionation radiation with daily skin bolus and taxanes as part of combined-modality therapy. Distant metastases–free survival remains a significant therapeutic challenge.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>19879068</pmid><doi>10.1016/j.ijrobp.2009.06.042</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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ispartof International journal of radiation oncology, biology, physics, 2010-07, Vol.77 (4), p.1105-1112
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subjects Adenocarcinoma - drug therapy
Adenocarcinoma - radiotherapy
Adenocarcinoma - surgery
Adjuvants
Adult
Aged
Aged, 80 and over
Antineoplastic Combined Chemotherapy Protocols - therapeutic use
ANTINEOPLASTIC DRUGS
Biological and medical sciences
BODY
Breast Neoplasms - drug therapy
Breast Neoplasms - radiotherapy
Breast Neoplasms - surgery
Capecitabine
Carboplatin - administration & dosage
Combined modality treatment
Cyclophosphamide - administration & dosage
Deoxycytidine - administration & dosage
Deoxycytidine - analogs & derivatives
Disease-Free Survival
DISEASES
Dose Fractionation
Doxorubicin - administration & dosage
Drug Administration Schedule
DRUGS
Epirubicin - administration & dosage
Female
Fluorouracil - administration & dosage
Fluorouracil - analogs & derivatives
FRACTIONATED IRRADIATION
GLANDS
Gynecology. Andrology. Obstetrics
Hematology, Oncology and Palliative Medicine
Humans
INFLAMMATION
Inflammatory breast cancer
IRRADIATION
Mammary gland diseases
MAMMARY GLANDS
Mastectomy, Modified Radical
Medical sciences
MEDICINE
Middle Aged
Neoadjuvant Therapy - methods
NEOPLASMS
NUCLEAR MEDICINE
ORGANS
Paclitaxel - administration & dosage
PATHOLOGICAL CHANGES
Radiation
Radiodermatitis - etiology
RADIOLOGY
RADIOLOGY AND NUCLEAR MEDICINE
RADIOTHERAPY
Radiotherapy, Adjuvant - adverse effects
Retrospective Studies
SKIN
Standard fractionation
SYMPTOMS
Taxanes
THERAPY
Tumors
title Locoregional Outcomes of Inflammatory Breast Cancer Patients Treated With Standard Fractionation Radiation and Daily Skin Bolus in the Taxane Era
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