How would you treat a biopsy proven isolated internal mammary node recurrence one year after a mastectomy and chemotherapy?  

Assume the patient had no radiation, what would your volumes be? Would you recommend radiation if the patient had whole breast/chest wall radiation previously? What if they had whole breast/chest wall + comprehensive nodal irradiation?



Answer from: Radiation Oncologist at Academic Institution
Comments
Radiation Oncologist at Varian Medical Systems/Allegheny health network
I agree with above. Will favor treating entire IM ...
Radiation Oncologist at Abramson Cancer Center, University of Pennsylvania
I agree as well although I would consider even hig...
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