Topics:
Breast Cancer • Radiation Oncology
In a breast cancer patient treated with neoadjuvant endocrine therapy, how would the presence of a lymph node micrometastasis influence your recommendations regarding radiation therapy?
Would ypN1mi after neoadjuvant endocrine therapy cause you to recommend postmastectomy radiation? Or regional nodal coverage after breast conservation?
Answer from: Radiation Oncologist at Community Practice
Data free zone but that being said, since the likelihood of PCR is low (not like triple negative or HER2 negative), I usually don’t necessarily add RNI. For BCT, treat with tangent including level 1 and 2 nodes.
For mastectomy, look at other risk factors (pre and post ET) to see if would offe...
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