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Breast Cancer • Radiation Oncology
How do you approach an early stage breast cancer patient s/p BCS in which ECE is found on a positive sentinel node?
Do you advocate for completion ALND? If so, would you radiate the dissected axilla?
Answer from: Radiation Oncologist at Academic Institution
These are cases that we are facing more commonly and my thought is the answer shouldn't change whether this is BCS or mastectomy (though less data in this setting).I will discuss with the patient the limitations of Z011 and AMAROS with respect to ENE. With focal microscopic ECE, I will often proceed...
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Answer from: Radiation Oncologist at Community Practice
For microscopic ECE, we would do regional nodal RT including 1, 2, 3, and supraclav node instead of ALND.
Comments
Radiation Oncologist at Cancer Care of Western New York
In a f/u to this question, if the ECE is found wit...
In a f/u to this question, if the ECE is found wit...
Radiation Oncologist at Varian Medical Systems/Allegheny health network
Based on other risk factors and if favorable, woul...
Based on other risk factors and if favorable, woul...
Radiation Oncologist at Cleveland Clinic
High tangents are very reasonable but if any other...
High tangents are very reasonable but if any other...
Radiation Oncologist at Marshfield Clinic - Rice Lake
The main thing for me in the setting of ECE in a m...
The main thing for me in the setting of ECE in a m...