What is the appropriate timeline to start post mastectomy chest wall/regional nodal XRT (+/- reconstruction) after surgery?
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?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Allegheny Health Network, Pittsburgh
Answered on
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...
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