PMC6159138_01
Clinical aspect at first presentation: the complete right breast had hardened and turned into a calculus. Approximately 15 x 5 cm ulceration of the right mammary fold. In the ulceration, a fractured fourth rib and the pleura could be seen. The wound was inflammatory.
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f1
She suffered from a 15 x 5 cm-sized ulceration that had developed in her right mammary fold together with extensive calcifications (Figure 1).
PMC6159138_02
Postoperative irradiation of the right breast with a 60Co unit after breast-conserving surgery 20 years earlier. Treatment plan with the dose distribution at the plane containing the isocentre. Relative isodose lines are given (20, 40, 60, 70, 80 and 90%). For simulation, the position of the isocentre in relation to the sternum and the skin is given (handwritten). With a tangential field arrangement, the entire left breast and thoracic wall received 48.6 Gy.
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f2
With a tangential field arrangement, the entire right breast and chest wall received a total dose of 48.6 Gy, with a daily single dose of 1.8 Gy (Figure 2).