For a postmenopausal patient with a pT2N0 breast cancer s/p BCS+SNB who qualifies for MA20, how do you decide between RNI, high tangents, and standard whole breast RT?

How would you modify this based on endopredict or RT-PCR?

Answer from: Radiation Oncologist at Community Practice

TL;DR: "This patient would have fit Z11 criteria - if they had positive nodes. Patients did very well with tangents/high tangents. For N0 patients that would have been otherwise eligible for Z11, I would treat with standard whole breast RT." The absolute reduction in isolated LRR in MA.20 was 5% at...

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Radiation Oncologist at Northeast Alabama Regional Medical Center
Ditto.

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For a postmenopausal patient with a pT2N0 breast cancer s/p BCS+SNB who qualifies for MA20, how do you decide between RNI, high tangents, and standard whole breast RT?

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