Do you ever treat cervical nodes above the standard supraclavicular field for breast cancer patients?

In the setting of biopsy-proven supraclavicular or cervical nodal disease, I do extend my fields cranially to include these nodes. I typically include the entire neck level based on head and neck contouring atlases and extend the cranial border at least 1 cm superior to the highest node. If nodes ar...

I generally follow the principle to treat one level above and lateral to the involvement. So, if medial s/c is positive (level 4 neck node) would include adjoining level 3 (cranial) and level 5 (lateral s/c). So, for the case described, a large nodal burden based on the index of suspicion would incl...

I similarly agree with the previous answers and would share that sometimes what radiologists are calling cervical lymph nodes on their formal read would be encompassed by our traditional supraclavicular contours, and/or the cranial extent to cover the suspicious and/or involved node(s) would not mea...

Good question, thanks for asking.

Yes. There are certainly many clinical situations where extending the superior border further superior (compared to our standard) is very reasonable; e.g., when there is suspected or proven, supraclavicular nodal disease. It is important to remember that our boundar...

I agree with and follow the same approach and technique as Dr. @Dr. First Last has described.