Should indications for postmastectomy radiation be different after a Goldilocks mastectomy?
For instance, would you be more inclined to treat a patient with T3N0 disease and no other risk factors? What if there were a small neighboring satellite lesion?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Allegheny Health Network, Pittsburgh
Answered on
Not a lot of data though there is this abstract which included a small number of patients receiving RT (https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5959682/)
In general, I would not use different indications for PMRT with patients undergoing Goldilocks mastectomy.
For T3N0 cases, I tend to look more at age, receptor status, presence of LVSI and would not change my recommendation based on type of mastectomy.
If satellite nodule, would include in my thinking about treating with PMRT for T3N0 bu...
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