Would you offer radiation to an elderly patient with DCIS who would otherwise not meet criteria for RTOG 9804?

I counsel elderly patients with DCIS about the risks and benefits of receiving radiation therapy. I offer radiation in patients with excellent performance status who are uncomfortable with the 1-2%/year recurrence risk with omission of radiation (extrapolating from RTOG 9804 as well as ECOG (Solin e...

Another comment: #1: What's the definition of elderly here? #2 What comorbidities are there? The death rate related to breast cancer is very low, even for larger, high grade DCIS. If a patient does not wish radiation therapy, I would be sure about margins. If there is any question, I would consider ...