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Breast Cancer • Radiation Oncology
Can a lumpectomy boost be omitted in a cN0 triple negative breast cancer that has a complete response after neoadjuvant chemotherapy?
If planning standard fractionation, what factors would you consider in omitting a boost (ie age, LVSI, etc)?
Answer from: Radiation Oncologist at Community Practice
At present we don't omit boost for triple negative even after pCR
We do participate in the study of exceptional responder to chemo where goal is to see if surgery can be omitted ( pts get adjuvant RT to breast plus boost without surgery)
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Answer from: Radiation Oncologist at Academic Institution
I would agree, we would not omit a boost in a cN0 trial negative patient. I would consider performing a SIB however.
Answer from: Radiation Oncologist at Community Practice
I agree with the above. I recommend boost in this scenario.