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 Kaiser Permanente
For the prior scenario of an IMN node that resolve...

Radiation Oncologist at Cleveland Clinic
I have been reticent to hypofractionate and then b...

Radiation Oncologist at Icahn School of Medicine at Mount Sinai/Mount Sinai Hospital
@Chirag S. Shah, in the setting of recently publis...

Radiation Oncologist at Cleveland Clinic
It has. I am definitely more open to moderate Hypo...

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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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