Radiation Oncology

Breast Surgery

Questions discussed in this category

When do you recommend endocrine therapy for chemoprevention in women with high-risk benign breast lesions?

Do you recommend axillary dissection for women with ER+ breast cancer and low risk Oncotype or Mammaprint if single node positive with only 1-2 SLN removed, to ensure <4 nodes positive?

4 Answers available

What is your approach to young healthy women with locally advanced breast cancer and biopsy-proven low cervical lymph nodes?

Would you treat this as a locally advanced breast cancer and offer surgery, radiation, and systemic therapy? Does your management change depending on ...

2 Answers available

For patients with DCIS on biopsy but invasive disease in lumpectomy, are there any circumstances in which you would not recommend returning for a SNB?

For example, if the lumpectomy specimen had low risk/low volume invasive disease?

3 Answers available

Would you go back and do an axillary lymph node dissection if a sentinel lymph node biopsy showed a single lymph node with extracapsular extension?

i.e. 1/1 node with ECE

3 Answers available

Would you recommend axillary dissection for a patient with cT1N1 triple negative metaplastic breast cancer?

1 Answer available

Should axillary imaging be routinely performed in all patients with a new diagnosis of breast cancer?

1 Answer available

Would you consider lymphovascular invasion at the margin to be a positive margin in breast cancer surgery?

Would you recommend re-excision or proceed to adjuvant therapy if the tissue margin is negative? Pathologist states that tumor foci at margin was only...

2 Answers available

Would an unfavorable molecular subtype cause you to proceed with ALNDx after a positive SLNBx?

In a patient with a positive SLNBx, would triple negative or Her2+ status affect your decision on whether or not to proceed with a full ALNDx?

1 Answer available

Would you consider an axillary dissection in a young patient with high grade breast cancer and one sentinel LN with isolated tumor cells?

2 Answers available

What is the threshold for negative surgical margins in multifocal microinvasive carcinoma of the breast?

Do you follow invasive or DCIS guidelines? Would you consider re-excision in a patient with multifocal microinvasive carcinoma of the breast arising i...

2 Answers available

How would you advise a woman who had a full axillary lymph node dissection on the risk of lymphedema with mountain climbing?

I have a patient who will be climbing to the base camp of Mount Everest. Does a climb to 15,000 feet increase her risk? Should she wear a compression ...

1 Answer available

Is ALND required in all patient with clinically positive axillary nodes?

1 Answer available

How do you counsel women with a history of breast cancer who have dense breasts, with regards to mammography screening?

Is there a role for routine use of additional or alternative imaging modalities for these patients, such as tomosynthesis, MRI, or ultrasound? I...

2 Answers available

For early stage breast cancer patients, should lumpectomy + RT be recommended over mastectomy?

Randomized trials in the 1980s demonstrated equivalent survival and disease control outcomes for lumpectomy + RT vs mastectomy, but several recent pop...

1 Answer available

Which patients with DCIS can be observed following lumpectomy?

Has the recent 12-year ECOG update for surgical excision of DCIS without radiation therapy changed your practice management?

1 Answer available