How would you manage a positive deep margin in the setting of mastectomy and expander placement?

Topics: Breast Cancer • Radiation Oncology

Would you boost the area of positive margin? Would you include the expander?

Answer from: Radiation Oncologist at Academic Institution

With these cases, I first discuss with the patient's surgeon if there is any role for re-excision. If not, then I look at whether it is prepectoral or subpectroal. With a subpectoral implant/expander, the at risk margin is in front of the implant/expander; while with a prepectoral implant/expander,...

Comments

Radiation Oncologist at Washington University School of Medicine
I agree with @Chirag S. Shah. Just an addendum: in...

Radiation Oncologist at Private Practice
Probably it is acceptable if I give a boost of 14 ...

Radiation Oncologist at Cleveland Clinic
I think that's a reasonable approach

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