Would you recommend APBI in an otherwise suitable candidate who is undergoing chemotherapy?

I would offer patients APBI in otherwise suitable patients who are undergoing chemotherapy. I discuss with medical oncologist to ensure treatment is sequenced with RT first but have not used the receipt of chemotherapy as a contraindication.

Additionally, patients may not know whether they will be recommended to receive systemic therapy as Oncotype/Mammoprint is pending. In these cases, I discuss with patient and medical oncologist and will complete RT and then patient will follow up with medical oncology re: systemic therapy recommendations.