Bolus is bogus.

By now we’re all familiar with the saga of re-examining the absolute benefit of adjuvant radiation treatments with increasingly effective systemic therapies. Before we go so far as to eliminate a treatment altogether, perhaps we should examine the small things we add for that small incremental benefit at the cost of incremental toxicity. That’s right, this contemporary study evaluates the benefit of adding bolus during post-mastectomy radiation (PMRT). It’s a retrospective look at 1887 patients receiving PMRT at a Vancouver center, with 318 patients (17%) not receiving bolus per physician preference, almost exclusively in the setting of reconstruction. Sure, there could be selection bias, but local failure was <2% regardless of bolus, and multivariate analysis showed bolus was associated with neither local control nor breast cancer mortality. TBL: Any tiny absolute benefit of bolus during PMRT without known skin involvement in the setting of contemporary systemic therapy may not be worth its tried and true toxicity. | Nichol, Int J Radiat Oncol Biol Phy 2020

Comments

  1. To know more about Chief Dr Lucky you can visit his website (https://chiefdrluckyherbaltherapy.wordpress.com/)
     
     A friend that suffered from Herpes and was cure with the help of this great herbal doctor Chief Lucky so i decided to contact him for help in getting rid of my families genital herpes virus 1/2 which i did and all i was told to provide was just some useful information and some materials used in preparation of the natural cure and that i did and now i am the happiest person on earth because i am writing this testimony of mine with joy and happiness in my heart to the whole world to know that natural remedy is real because i am a living testimony of Chief Lucky traditional herbal cure and i want you all to contact Chief Lucky via his email: chiefdrlucky@gmail.com or WhatsApp him +2348132777335 am sure he will help you too.

    ReplyDelete
  2. This is such a great resource that you are providing and you give it away for free. I love seeing blog that understand the value of providing a quality resource for free kubet

    ReplyDelete

Post a Comment

Popular Posts