Is there any role for post-mastectomy radiation in the setting of N1mic axillary disease?

Topics: Breast Cancer • Radiation Oncology

What if it was found on SLNB and no axillary dissection was performed? Any risk factors that would make you consider RNI vs CW only vs observation?

Answer from: Radiation Oncologist at Community Practice

Most data based on which we predict risk of recurrence and recommend PMRT is based on studies when Ni mic was considered node negative and thus those studies would not be applicable to Ni mic disease. The IBCSG randomized study on Ni mic (dissection vs. no dissection) did have a percentage of pati...

Comments

Radiation Oncologist at Cancer Specialists of North Florida
Do you still feel like this in 2018? What if only ...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Upfront ITC doesn't change management as treated l...

Radiation Oncologist at Mallory Radiotherapy, PLLC
For a post-mastectomy patient with N1mic disease i...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
It by itself will not unless the risk of additiona...

Radiation Oncologist at Cleveland Clinic
I would consider PMRT for N1mic disease in the set...

Radiation Oncologist at Nebraska Methodist Hospital
How about in an elderly patient (85 years old) wit...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
For T3Nimic with LVSI, I favor PMRT as mentioned i...

Radiation Oncologist at Nebraska Methodist Hospital
Would you treat the chest wall only or include the...

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