Would you recommend PMRT for T2N0(i+) breast cancer?

Topics: Breast Cancer • Radiation Oncology

If a patient was noted to have poorly differentiated histology with two tumor foci in the breast, positive LVSI, and isolated tumor cells in 1/3 sentinel nodes, would you offer PMRT with RNI?

Answer from: Radiation Oncologist at Academic Institution

In this situation, I do not normally offer PMRT as long as margins are negative. There are some that would consider in this scenario if triple negative but I don’t usually.

Comments

Radiation Oncologist at Iowa City Cancer Treatment Center
In such a situation I recommend PMRT.

Answer from: Radiation Oncologist at Community Practice

Not routinely. Would consider discussion if young age and multiple other risk factors - TNBC, margin concern, dermal LVSI/involvement, or treatment response seen in the other nodes.

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