What is the maximum dose that you would give to residual unresectable gross disease in the axilla in the setting of recurrent breast cancer s/p ALND?  

Good question. For both supraclavicular and axillary gross nodes, the issues are quite similar; i.e., the brachial plexus makes it challenging to give a high enough dose to control gross disease. A few thoughts: For gross disease, it is always good to consider adding concurrent chemo as a sensiti...