What is the treatment volume for primary breast lymphoma?
In a patient with Stage IE DLBCL, is your treatment volume postchemo ISRT or whole breast? Would you consolidate if a lumpectomy was performed prior to chemo with negative margin?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Duke University Medical Center
Answered on
This is a rare presentation for DLBCL. In most instances tumor fairly small and lumpectomy can be performed and usually has been before dx is established. Post chemo I usually rx whole breast to 30gy. One could argue against RT theoretically if lumpectomy with neg margins has been performed but it is easy to do, well tolerated and I am more comfortable with adding RT in virtually all case of localized DLBCL.
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