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Given the MA20 results, do you consider CW plus SCV or even regional nodal radiation postmastectomy for pT3N0 with high risk features?

High risk meaning LVI, triple negative, Grade 3, etc?
2 Answers
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Radiation Oncology · Mass General Physicians Organization
Answered on · Updated on

I would certainly recommend PMRT for T3N0 with high-risk features (LVI, grade III, etc.). Actually, even before the MA 20 data is available, T3N) with LVI has a higher risk for LF as demonstrated in one of our papers (Floyd et al ). To avoid PMRT for T3N0, there should be no high-risk features (no g...

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Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Mass General Physicians Organization
Answered on

I would treat the s/c and IMN when PMRT is indicated for a T3N0 with high-risk features. The information in the literature regarding PMRT is to treat all or none, so once you give PMRT, it will include chest wall + regional LN's. We have published a paper on patients with 1-3 positive LN's receiving...

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