Fit older patients are candidates for WBI after breast conserving surgery for invasive cancer and for higher-risk DCIS |
Whole Breast Irradiation (WBI) with a boost to the site of excision is appropriate for all older patients with invasive breast cancer; there is no specific subgroup from whom WBI can be systematically omitted. |
Patients >50 are candidates for a hypofractionated schedule when lymph node irradiation is not indicated |
Partial breast irradiation should still be considered investigational |
3D based planning is advised to minimize lung/heart doses |