Topics:
Breast Cancer • Radiation Oncology
Are there any breast ca patients for whom you would offer PMRT if they were cN0 and ypN0?
For example, if they were triple negative or had a poor response to neoadjuvant chemotherapy in the breast?
Answer from: Radiation Oncologist at Academic Institution
There are a few patients, I will still offer RT for if they are cN0 and ypN0.
cT4 disease
T3N0- will consider for young age, triple negative
I don't routinely offer to cT1-2N0 patients unless positive margins.
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Answer from: Radiation Oncologist at Community Practice
Other than what @Chirag S. Shah said, poor response to chemo for t1 and t2 primary if aggressive phenotype (triple negative) and residual disease more than 2 cm.