How would you manage a patient with an early stage ER+ cancer of the accessory breast tissue in the axilla with clear margins and negative sentinel lymph nodes?

Would you consider/favor APBI given the negative normal breast if you can meet the brachial plexus constraints?

Answer from: Radiation Oncologist at Community Practice

Like any other patient after BCS. Whole breast or APBI based on technical factor. If luminal type and plan APBI, may consider 5.2 Gy x5 to reduce OAR dose.

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How would you manage a patient with an early stage ER+ cancer of the accessory breast tissue in the axilla with clear margins and negative sentinel lymph nodes?

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