Would you consider RNI in a patient with axillary recurrence after lumpectomy, whole breast RT and cavity boost 10 years ago?

This patient has residual nodal disease after neoadjuvant chemotherapy and has a high risk of recurrence. I have typically treated the supraclavicular fossa and at risk axilla using a VMAT technique to limit skin dose in the area of overlap. You have 10 years of repair and the patient should tolerat...

Axillary nodal disease correlates most with chest wall recurrence (60-75% of post mastectomy recurrences are along the chest wall). After a disruption (like multiple surgeries), we don’t exactly know what the recurrence pattern will be, but it is highly unlikely to change to where CW would be a mino...