Would you consider adjuvant RT in an elderly patient with a T1N0 ER+ breast cancer who initially proceeds with endocrine therapy alone and is unable to tolerate it?  

What is the maximal amount of time you would allow between the surgery the start of adjuvant RT? What other factors would you consider when deciding whether to offer adj RT after a failure of endocrine therapy?  



Answer from: Radiation Oncologist at Academic Institution

Answer from: Radiation Oncologist at Community Practice