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Topics:
Breast Cancer • Radiation Oncology
How would you approach reirradiation in a patient with a history of whole-breast RT many years ago, now with a small intermediate-grade DCIS s/p lumpectomy with an elevated DCISionRT?
Answer from: Radiation Oncologist at Community Practice
Short Answer:
Re-irradiation to the breast is safe and effective for Stage 0 DCIS to decrease local recurrence.
DCIS (with an elevated DCISionRT) can also be properly managed by BCS alone without re-irradiation as long as margins are widely negative.
Long Answer:First, I want to acknowledge that ...
Answer from: Radiation Oncologist at Community Practice
It’s not exactly obvious to me that DCISionRT is validated for in-breast tumor recurrence after prior BCT and whole breast radiation. I suppose it was helpful here?
Reirradiation for recurrent breast cancer (usually...