For a breast cancer patient who previously underwent lumpectomy/SLN biopsy and PBI with brachytherapy, what volume would you treat for an isolated axillary recurrence s/p ALND and chemo?
Since only part of the breast was treated before, would you include treatment of the whole breast now, despite no detectable disease?
Would you alter the dose at all in those settings?
I typically do not and give 50 Gy /25 fx. However,...
In cases > 5 years out, I have also used hypofx...