In a patient with a remote history of mantle field radiation, is there any contraindication to whole breast irradiation for early stage breast cancer?

Topics: Breast Cancer • Radiation Oncology

Would you prefer APBI or mastectomy in this situation?

Answer from: Radiation Oncologist at Community Practice

It’s not an absolute contradiction depending on prior mantle dose and volume. That being said, would favor PBI over whole breast if disease suitable for PBI. One concern about the risk of new primary at other site in breast remains as had mantle RT and a need to be counseled.

Comments

Radiation Oncologist at Rush University Medical Center
Remember that mantle fields were usually delivered...

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