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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
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Answer from: Radiation Oncologist at Community Practice
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Answer from: Radiation Oncologist at Community Practice
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Answer from: Radiation Oncologist at Academic Institution
Comments
Radiation Oncologist at Varian Medical Systems/Allegheny health network
If the number of positive macromets node is >2.
Radiation Oncologist at Allegheny Health Network, Pittsburgh
I typically think >2-3.
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Answer from: Radiation Oncologist at Community Practice
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Radiation Oncologist at Baylor Scott & White Health
Would your recommendation change if the ECE was 8m...
Radiation Oncologist at Allegheny Health Network, Pittsburgh
If there is gross ECE, I favor ALND. Otherwise, I ...
Radiation Oncologist at Baylor Scott & White Health
How do you define gross ECE? I have encountered di...
Radiation Oncologist at Allegheny Health Network, Pittsburgh
Typically from surgical and pathology reports, the...
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Answer from: Radiation Oncologist at Academic Institution
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Answer from: Radiation Oncologist at Community Practice
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Answer from: Radiation Oncologist at Community Practice
Comments
Radiation Oncologist at Allegheny Health Network, Pittsburgh
I don't use high tangents commonly outside of ER+ ...
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