For path CR after neoadjuvant chemotherapy in breast cancer with sentinel node (2-3 nodes) negative but >4 nodes positive on initial PET, do you boost the nodes not assessed by sentinel node?

Topics: Breast Cancer • Radiation Oncology

Do biomarkers impact your decision-making? If you were to boost, what dose would you use?

Answer from: Radiation Oncologist at Community Practice

I have boosted the epicenter of these undissected nodes if can identify on CT sim for planning. For CR or pCR in other nodes usually use 56 to 60 Gy and if non pCR or nodes are still enlarged (like IM or s\c) to 60 to 66 Gy.

Comments

Radiation Oncologist at University of Rochester Wilmot Cancer Institute
I have done the same as @Sushil Beriwal, and of co...

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