Topics:
Breast Cancer • Radiation Oncology
How would you treat a patient with a prior history of an early-stage breast cancer who now has a 5 cm tumor in this ipsilateral breast with nodal involvement?
If a patient had a partial mastectomy and radiation therapy 10 years ago and now has a large ipslateral breast cancer (different ER/PR/Her 2 markers now), how would you treat after chemotherapy and mastectomy? Would you offer PMRT?
Answer from: Radiation Oncologist at Academic Institution
The value of regional nodal irradiation (RNI) without breast or chest wall irradiation has never been tested in the modern era. However, most recurrences after neoadjuvant chemotherapy and mastectomy are on the chest wall, not in regional nodes, so that RNI by itself seems unlikely to improve overal...
Answer from: Radiation Oncologist at Community Practice
In general, re-irradiation of the chest wall should be done cautiously, and I tend to favor mastectomy and a complete ALND alone. Should there be a recurrence say, on the scar line further down the line, local excision followed by potential PMRT at that time could be possible.
However, there are a ...
Thank you for your kind comments. This patient was...
She may need regional nodal irradiation and no Cw ...