Is re-excision of residual disease ever itself an indication for PMRT?
In a case where all of a palpable tumor was inadvertently left behind after mastectomy, and a surgical drain was placed beneath the residual mass, then subsequently removed, followed by re-excision to remove the disease, would this scenario prompt consideration for post-mastectomy radiation therapy?
The patient is in her 30s, with a 1.4 cm, grade 2 tumor of the lower inner quadrant of the right breast, with LVI.
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Duke University Medical Center
Answered on
This situation seems rather strange, but clearly the original surgery was inadequate, and re-excision still doesn't add up to optimal cancer surgery. Given these concerns, PMRT seems like a good idea. The fact that this is a right-sided lesion is helpful in avoiding cardiac RT in this young woman. T...
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