Radiation recall reaction with docetaxel administration after accelerated partial breast irradiation with electronic brachytherapy

We present a case of an ulcerative radiation recall reaction in a patient receiving APBI with electronic brachytherapy followed by chemotherapy. Our analysis shows that the use of electronic brachytherapy resulted in the deposition of significantly higher equivalent dose at the skin compared with 192Ir. These findings suggest that standard guidelines (e.g., surface-to-skin distance) that apply to 192Ir-based balloon brachytherapy may not be applicable to electronic brachytherapy.