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?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Allegheny Health Network, Pittsburgh
Answered on
These are very challenging cases and multiple options exist.
In the situation of no radiation therapy previously, I would treat comprehensively (after systemic staging to rule out metastatic disease), including chest wall, SCV, and IM nodes. I would consider boosting the involved IM nodes with a mar...
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