Would you recommend RNI for a triple negative cancer s/p lumpectomy and ALND with low LN positivity rate?

My current practice is to offer patients with triple negative disease and positive nodes after ALND RNI with their whole breast irradiation. MA20 included such patients with roughly 85% having 1-3 LN+ and more than 65% had 10+ LN removed. The addition of RNI increased survival in ER- patients (81 vs...

I agree with above. At present, if the breast cancer is triple negative with any node positive disease, I routinely treat with RNI.