How would you manage an axillary lymph node only recurrence after prior mastectomy, chemotherapy and hormone therapy?

Assume your patient did not receive radiation upfront and they had an axillary dissection due to recurrence. Would you recommend radiation? What would your fields include?

Answer from: Radiation Oncologist at Academic Institution

In setting of no previous radiation therapy and axillary dissection for recurrence, I would recommend comprehensive radiation to chest wall and regional nodes including SCV/Axilla. I would consider inclusion of IMNs based on pathologic and patient factors.

Comments

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Agree with Chirag as would treat comprehensively

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How would you manage an axillary lymph node only recurrence after prior mastectomy, chemotherapy and hormone therapy?

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