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?



Answer from: Radiation Oncologist at Academic Institution
Comments
Radiation Oncologist at Texas Oncology
Would you alter the dose at all in those settings?
Radiation Oncologist at Cleveland Clinic
I typically do not and give 50 Gy /25 fx. However,...
Radiation Oncologist at Cleveland Clinic
In cases > 5 years out, I have also used hypofx...
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Answer from: Radiation Oncologist at Community Practice