Topics:
Breast Cancer • Radiation Oncology
How would you manage a patient with locally advanced triple negative breast cancer s/p MRM, who refuses adjuvant chemo?
(e.g. bulky supraclavicular, internal mammary, as well as retrosternal lymph nodes)
Answer from: Radiation Oncologist at Academic Institution
These are challenging situations. While the patient is refusing adjuvant chemotherapy, sometimes patients will consider concurrent Xeloda. If they will, I would give 50 Gy to wide post-op field (CW + RNI) and with areas of gross disease (ex. SCV, IM, retrosternal) boosted to 66 Gy.
If the pat...
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