How would you treat a biopsy proven isolated internal mammary node recurrence one year after a mastectomy and chemotherapy?

Assume the patient had no radiation, what would your volumes be? Would you recommend radiation if the patient had whole breast/chest wall radiation previously? What if they had whole breast/chest wall + comprehensive nodal irradiation?

Answer from: Radiation Oncologist at Academic Institution

These are very challenging cases and multiple options exist. In the situation of no radiation therapy previously, I would treat comprehensively (after systemic staging to rule out metastatic disease), including chest wall, SCV, and IM nodes. I would consider boosting the involved IM nodes with a ma...

Comments

Radiation Oncologist at Varian Medical Systems/Allegheny health network
I agree with above. Will favor treating entire IM ...

Radiation Oncologist at Abramson Cancer Center, University of Pennsylvania
I agree as well although I would consider even hig...

Please select the option that best describes you:

How would you treat a biopsy proven isolated internal mammary node recurrence one year after a mastectomy and chemotherapy?

Related Questions