What is the appropriate timeline to start post mastectomy chest wall/regional nodal XRT (+/- reconstruction) after surgery?

Topics: Breast Cancer • Radiation Oncology • Medical Oncology • Breast Cancer, Non-metastatic

What if Medical Oncology wants to give more systemic therapy and further delay XRT start date?
What should we be telling the Breast/Plastic surgeon/Medical Oncologist is the Radiation Oncologist's expectation of a reasonable XRT start date (assuming the patient is healed and ready to go) after mastectomy?

Answer from: Radiation Oncologist at Academic Institution

If the patient received neoadjuvant chemotherapy, we typically give RT prior to additional chemotherapy (ex. xeloda for triple negative with residual, TDM1 for HER2+ with residual) and try to start 4-6 weeks post-op given that they are well healed and/or reconstruction/expanders completely filled. I...

Comments

Radiation Oncologist at Mon Health
Thank you. Would you prefer the expanders to be co...

Radiation Oncologist at Munson Medical Center
If the contralateral expander is too full, it can ...

Radiation Oncologist at Harvard Medical School
We fully expand bilaterally (some plastic surgeons...

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