Would you consider radiation omission in an elderly patient with a 2 mm focus of invasive ductal carcinoma in a background of high-grade DCIS?

Topics: Breast Cancer • Radiation Oncology

For a > 70-year-old female patient with 2 mm of ER+ PR+ HER2- grade 1 invasive ductal carcinoma in background of 1 cm of grade 3 DCIS, would you recommend or omit radiation?

Answer from: Radiation Oncologist at Academic Institution

I think there is a role in shared decision-making here. Based on the data we have, there is no survival difference with the addition of RT in this situation. Radiation will improve local control. When it was a choice of 5 weeks for that benefit, many chose to omit. With 5 fx, it's a different discus...

Comments

Radiation Oncologist at West Virginia University
I agree that knowing what the patient's plan is re...

Radiation Oncologist at Cleveland Clinic
I think we can say based on PRIME II/CALGB 9343, t...

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