Would a finding of isolated tumor cells on SNB impact your decision to offer omission of radiation in a patient with breast cancer who is otherwise a candidate?

Topics: Breast Cancer • Radiation Oncology

Answer from: Radiation Oncologist at Community Practice

ITCs raise our eyebrows, for sure, but are not technically a reason to treat. As this was not recorded in the CALGB study and the majority of patients did not have any axillary evaluation, it is quite likely a portion of patients had ITCs, and yet still did not have excessive rates of recurrence.Tha...

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Radiation Oncologist at Genesis Healthcare Partners- San Diego
The pathology comment was, though LVSI not found, ...

Answer from: Radiation Oncologist at Community Practice

ITCs would not change the decision in otherwise suitable for AI alone with no RT. That being said, for these patients meeting prime 2 or CALGB, we now favor fast forward whole breast regimen or 5 fraction APBI schedule.

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