Would you offer PMRT for an axillary-only recurrence after a remote mastectomy and ALND in a patient with early stage breast cancer?
In a patient with a T1 breast cancer who underwent mastectomy and ALND and recurred in the axilla a year later, would you offer RT to the chest wall and draining lymphatics after her second ALND?
2 Answers
Mednet MemberInvited Expert
Radiation Oncology · University of Texas MD Anderson Cancer Center
Answered on
Yes. This patient's relatively early recurrence in the axilla is an indicator of either suboptimal initial surgery, aggressive biology, or both. Following axillary dissection, chemotherapy may be warranted and a discussion with the medical oncologist is certainly appropriate. Following chemotherapy,...
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Mednet MemberInvited Expert
Radiation Oncology · Mass General Physicians Organization
Answered on
ABSOLUTELY, THIS PATIENT SHOULD RECEIVE RT TO CHEST WALL AND ALL DRAINING LYMPHATICS.
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