Topics:
Breast Cancer • Radiation Oncology
In the setting of recurrent breast cancer after breast radiation, who receives a mastectomy and is found to have positive axillary nodes, under what circumstances would you give radiation to the chest wall and nodes vs the nodes only?
Answer from: Radiation Oncologist at Community Practice
There is no absolute answer, and it is a function of time to recurrence, previous volume of RT, and potential benefit of RT (based on extent and location of recurrence and phenotype of disease). The threshold to treat is higher than upfront setting for sure.
Treatment can vary from none to comprehe...
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Answer from: Radiation Oncologist at Academic Institution
There is no definitive answer and from my experience significant differences in approaches based on institution.
For me, if the patient is > 2 years from initial breast radiation, I will offer treatment to the chest wall and regional nodes. Regimens considered can be hyperfractionation, hypofrac...
Comments
Radiation Oncologist at Indiana University Health
Do you use standard bolus for PMRT in patients who...
Do you use standard bolus for PMRT in patients who...
Radiation Oncologist at Cleveland Clinic
I do use standard bolus which for us is first half...
I do use standard bolus which for us is first half...
Radiation Oncologist at Varian Medical Systems/Allegheny health network
Over a period of time with data showing chest wall...
Over a period of time with data showing chest wall...