Topics:
Breast Cancer • Radiation Oncology
Would you consider regional nodal irradiation for a patient who refused initial adjuvant breast RT who now presents with locally recurrent multifocal breast cancer s/p lumpectomy with positive margins and no nodal evaluation?
Answer from: Radiation Oncologist at Community Practice
I would recommend margin re-excision with a sentinel node biopsy at that time prior to any radiation. If the SNB is negative, I would not recommend coverage of the regional nodes.
Sign in or Register to read more
Answer from: Radiation Oncologist at Community Practice
Re-excision and repeat SNLN.
If can’t track/identify SNLN, then breast with level 1 and 2 nodes in tangent beam.