Do you recommend additional nodal boost in patients with suspicious internal mammary nodes that respond completely after neoadjuvant chemotherapy?

This boost would be in addition to the standard regional nodal irradiation delivered post-op.

Answer from: Radiation Oncologist at Academic Institution

Our standard practice is to boost undissected regional nodes (IMC, ICV, SCV) that completely respond radiographically, an additional 10 Gy after regional nodal irradiation, and boost those that persist on imaging after chemotherapy 16 Gy. If the radiographic complete response was...

Comments

Radiation Oncologist at Weill Cornell Medical College
I completely agree. I try to use a similar rationa...

Radiation Oncologist at Northeast Alabama Regional Medical Center
Has MDACC looked at protons vs photons for IMNs/PM...

Radiation Oncologist at CCare
If there is only one area where there was a possib...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Boost is to the involved node and not the entire r...

Radiation Oncologist at Kaiser Permanente
The B51 study did not require an additional boost ...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
B51 didn’t allow patients with IM nodes invo...

Radiation Oncologist at Kaiser Permanente
True. I was pondering why I would boost involved I...

Radiation Oncologist at University of Texas MD Anderson Cancer Center
Agree this would be inconsistent, but we don't rea...

Radiation Oncologist at Kaiser Permanente
How would you treat someone with initial involveme...

Radiation Oncologist at University of Texas MD Anderson Cancer Center
Was the clinical gross node or nodes clipped and r...

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Do you recommend additional nodal boost in patients with suspicious internal mammary nodes that respond completely after neoadjuvant chemotherapy?

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