In light of the AMAROS trial, how do you decide between ALND vs. axillary RT?  

In particular, I have a patient who underwent lumpectomy for a T3 tumor with positive margins and 1/2 SLN+.  She is now scheduled for mastectomy and the surgeon has asked if she should do an ALND or get ART.



Answer from: Radiation Oncologist at Community Practice

Answer from: Radiation Oncologist at Community Practice

Answer from: Radiation Oncologist at Community Practice

Answer from: Radiation Oncologist at Community Practice
Comments
Radiation Oncologist at Varian Medical Systems/Allegheny health network
If the number of positive macromets node is >2.
Radiation Oncologist at Cleveland Clinic
I typically think >2-3.
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Answer from: Radiation Oncologist at Community Practice
Comments
Radiation Oncologist at University of Texas Medical Branch at Galveston
Would your recommendation change if the ECE was 8m...
Radiation Oncologist at Cleveland Clinic
If there is gross ECE, I favor ALND. Otherwise, I ...
Radiation Oncologist at University of Texas Medical Branch at Galveston
How do you define gross ECE? I have encountered di...
Radiation Oncologist at Cleveland Clinic
Typically from surgical and pathology reports, the...
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Answer from: Radiation Oncologist at Academic Institution

Answer from: Radiation Oncologist at Community Practice

Answer from: Radiation Oncologist at Community Practice
Comments
Radiation Oncologist at Cleveland Clinic
I don't use high tangents commonly outside of ER+ ...
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