How would you approach a patient with low grade follicular lymphoma (stage IE) of the breast who presents with local recurrence 1 year s/p lumpectomy?

She was on surveillance after lumpectomy. No prior radiation therapy. What dose/fractionation?

Answer from: Radiation Oncologist at Academic Institution

I would re-stage the patient with imaging. If the disease remains localized, then I would treat with definitive RT (24-30 Gy in 2 Gy fractions using ISRT principles). It would be interesting to look back at the pathology from the original lumpectomy. Unless margins were widely negative, I would pro...

Comments

Radiation Oncologist at Jacob E Locke MD PA
Any reason that 2 Gy x 2 should not be utilized (l...

Radiation Oncologist at Beaumont Health System
The FoRT trial (Hoskin et al., PMID 33539729) show...

Radiation Oncologist at Jacob E Locke MD PA
Excellent information, thank you.

Radiation Oncologist at Orlando Health UF Health Cancer Center Health Central Hospital
@Christopher R. Kelsey - piggybacking on this thre...

Radiation Oncologist at Duke University Medical Center
Great question. The conventional approach for extr...

Answer from: Radiation Oncologist at Community Practice

2 Gy x 2 ... Or 24/2 ... perhaps either is acceptable?

Please select the option that best describes you:

How would you approach a patient with low grade follicular lymphoma (stage IE) of the breast who presents with local recurrence 1 year s/p lumpectomy?

Related Questions