How do you approach a patient with cN0 breast cancer who has high risk features but did not have a sentinel node biopsy?

For example, would you consider high tangents in a patient who did not undergo SNB due to age and comorbidities, but has high risk features such as grade 3? What if the patient was ER- and had LVSI? Would the receipt of chemotherapy change your decision?

2 Answers

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Radiation Oncology · Varian Medical Systems/Allegheny health network

Answered on

For T1 and T2 disease, I usually treat levels 1 and 2 in tangent beams.

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Radiation Oncology · Mayo Clinic Hospital

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This is not a frequent scenario in my practice. While routine omission of SLN Bx is increasingly considered for elderly women with hormone-positive breast cancer based on the SSO choosing wisely criteria, there are some data suggesting that this is most appropriate in select scenarios (T1a-c grade 1...

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