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Table 4 Modified LENT SOMA Scale

From: A biologically competitive 21 days hypofractionation scheme with weekly concomitant boost in breast cancer radiotherapy feasibility acute sub-acute and short term late effects

 

Grade1

Grade 2

Grade 3

Grade 4

Fibrosis

Barely palpable increased density

Definite increased density and firmness

Very marked density, retraction and fixation

 

Telangiectasia

< 1cm2

1cm2 - 4cm2

> 4cm2

 

Hyperpigmentation

Mild

Moderate

Severe

 

Retraction/Atrophy

10 - 25%

> 25 - 40%

> 40 - 75%

Whole breast

Ulcer

Epidermal only, ≤ 1cm2

Dermal, > 1cm2

Subcutaneous

Bone exposed, necrosis