How would you approach a patient with low grade follicular lymphoma (stage IE) of the breast who presents with local recurrence 1 year s/p lumpectomy?
She was on surveillance after lumpectomy. No prior radiation therapy. What dose/fractionation?
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How would you treat a patient with local recurrence of low grade follicular lymphoma (stage IE) of the breast 1 year s/p lumpectomy?
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2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Duke University Medical Center
Answered on
I would re-stage the patient with imaging. If the disease remains localized, then I would treat with definitive RT (24-30 Gy in 2 Gy fractions using ISRT principles).
It would be interesting to look back at the pathology from the original lumpectomy. Unless margins were widely negative, I would prob...
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Mednet Member
Radiation Oncology · Jacob E Locke MD PA
Answered on
2 Gy x 2 ... Or 24/2 ... perhaps either is acceptable?
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