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Is there a role for radiation in a patient with supraclavicular and cervical node recurrence of breast cancer after prior whole breast RT (no ENI)?

If there are small but numerous nodes involving levels II-IV and V on the ipsilateral side would you treat the lymph nodes if they had not previously received radiation?
1 Answer
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Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on

If there is no other site of metastatic disease and the above nodes are bx proven, then I would treat this like a regional node recurrence and treat the ipsilateral axilla, s/c, and neck with IMRT/IGRT with dose to the involved nodes to about 60-66 Gy.

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