How would you manage an elderly patient with a de novo TNBC in the setting of a remote prior ipsilateral breast cancer s/p mastectomy and implant?

The patient is greater than 70 years old with a new de novo, 4 mm triple-negative breast cancer.

She has a previous history of ipsilateral breast cancer treated with mastectomy and breast implant in the distant past (30 years ago) and no history of previous radiation therapy.

Answer from: Radiation Oncologist at Community Practice

Unusual case: Looks like a new primary based on the timeline and presuming repeat SNLN was done and is negative. If local treatment is adequate as above, one can skip RT. Otherwise, I would favor RT. Also, obtain BRCA testing.

Please select the option that best describes you:

How would you manage an elderly patient with a de novo TNBC in the setting of a remote prior ipsilateral breast cancer s/p mastectomy and implant?

Related Questions