Following mastectomy with a SNB and single positive axillary lymph node, would you refer a patient back for an axillary dissection if she has borderline indications for PMRT?

For example, for T2N1a ER+ disease? Or would you offer PMRT and axillary nodal irradiation (as a replacement for ALND)?

Answer from: Radiation Oncologist at Community Practice

For macromets: If there is no indication for PMRT, then patients are referred back for ALND. That being said, there are patients who decline ALND because of lymphedema and in these patients do perform PMRT with RNI in lieu of ALND . For micromets: No additional axillary intervention an...

Comments

Radiation Oncologist at Munson Medical Center
This patient could be an MA.39 candidate if Oncoty...

Radiation Oncologist at Cleveland Clinic
We have shifted to offer these patients PMRT rathe...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
There always a trade off and other issue to consid...

Radiation Oncologist at City of Hope Comprehensive Cancer Center
If you decide to do PMRT in this case , will you r...

Radiation Oncologist at Swedish Covenant Hospital (Chicago IL)
MA.39 radiation arm requires Tx to IM nodes as wel...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
if indication for PMRT then yes. for borderline ca...

Radiation Oncologist at Fort Belvoir Community Hospital
Sushil, Considering there is about a 15% chance o...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Risk of involvement has not translated into risk o...

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Following mastectomy with a SNB and single positive axillary lymph node, would you refer a patient back for an axillary dissection if she has borderline indications for PMRT?

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