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Would you recommend removal of pec muscle for a positive microscopic deep margin post mastectomy?
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Radiation Oncology · Varian Medical Systems/Allegheny health network
Pec fascia and muscle involvement are independent risk factors for local relapse even with a negative margin. The situation is not common but for microscopic positive margin, have offered PMRT with an additional boost to the area of close margin (60-66 Gy and used pre-surgery imaging to identify the...