Do you recommend resection for positive anterior or posterior margins in a patient s/p mastectomy if the surgeon says they took all the breast tissue anteriorly to the skin or posteriorly to the fascia?

Would you recommend PMRT for these patients if they did not undergo resection? Would you boost if they had other indications for PMRT?

Answer from: Radiation Oncologist at Community Practice

It's hard to localize a margin positive area after mastectomy (unlike lumpectomy) and most of the time we dont recommend resection unless the area can be localized with certainty

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Do you recommend resection for positive anterior or posterior margins in a patient s/p mastectomy if the surgeon says they took all the breast tissue anteriorly to the skin or posteriorly to the fascia?

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