Topics:
Breast Cancer • Radiation Oncology
Would you ever recommend PMRT to the chest wall alone without nodal radiation for invasive or in situ breast disease?
Answer from: Radiation Oncologist at Academic Institution
One of the most striking findings of the NCIC CTG MA.20 and EORTC 22922/10925 studies was that the addition of RNI provided a greater absolute reduction in distant recurrence than isolated locoregional recurrence. Similarly we know from multiple prior patterns of failure studies that the risk of iso...
Comments
Radiation Oncologist at Duke University Medical Center
I think Dr Mutter has summarized the data very wel...
I think Dr Mutter has summarized the data very wel...
Radiation Oncologist at St. Anthony's Medical Center
If a patient has has a pCR to neoadjuvant chemo bu...
If a patient has has a pCR to neoadjuvant chemo bu...
Radiation Oncologist at Cleveland Clinic
if a patient has up front axillary involvement and...
if a patient has up front axillary involvement and...
Answer from: Radiation Oncologist at Academic Institution
- I do not know of any indication for RNI in In-Situ Breast cancer( Included in Question)
-In regard to Invasive breast cancer, I agree with Sushil about no benefit to RNI in Node negative cases( Dissection or Reliable SLN BX) when we radiate the Chest wall for adverse primary Tumor factors.
Answer from: Radiation Oncologist at Academic Institution
Agree with above:
1. In-Situ disease- can consider chest wall PMRT without RNI for positive margins only
2. Invasive disease- I routinely treat RNI with chest wall RT for all cases with the exception of T1-2N0 with positive margins. For T3N0 cases, I usually include RNI as the added morbid...
Comments
Radiation Oncologist at Duke University Medical Center
In response to Dr Coplowitz, the need for PMRT wit...
In response to Dr Coplowitz, the need for PMRT wit...
What is your recommendation for a patient with a l...
If node negative I don’t although in Canadian st...