How would you treat a patient who had a previous mastectomy for an early stage breast cancer (without XRT) and then develops an isolated axillary recurrence and undergoes ALND?
What volumes and dose would you treat? Would you treat the regional nodes alone (including IMN)? Would you treat the chest wall?
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
There are no prospective studies to guide in this regard. Based on retrospective data, I would treat the chest wall, undissected axilla and supraclav area
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Mednet MemberInvited Expert
Radiation Oncology · Allegheny Health Network, Pittsburgh
Answered on
I would treat comprehensively with chest wall radiation and regional nodal irradiation including SCV, axilla, and IM nodes.
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