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Breast Cancer • Medical Oncology • NCI-CCC Tumor Board Question • Columbia • HR+ • NCI-CCC Breast Tumor Board Question • Breast Cancer, Non-metastatic
How would you manage a premenopausal woman with a poorly differentiated pT2 HR+/HER2- breast cancer and 3/3 SLNs with ITCs?
Would you consider ALND and /or XRT to axilla?
Answer from: Medical Oncologist at Academic Institution
Assuming she was clinically N0 prior to surgery, I would not subject her to an ALND but would favor axillary radiation; since ITC is not considered 'node-positive' she doesn't meet criteria for the AMAROS trial but I would extrapolate the equivalence of axillary radiation to ALND from that study to ...
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