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In a locoregionally advanced breast cancer with multiple positive surgical margins, how safe is it to wait for a re-excision vs treating upfront with comprehensive RT if surgery cannot be done the short term due to the COVID outbreak?
Radiation in the setting of positive margins is sub-optimal and from my understanding high boost doses do not replace further surgery. Is it better to wait some time until re-excision done or to treat comprehensively and leave surgery for salvage with the understanding of providing sub-optimal control outcomes?
Answer from: Radiation Oncologist at Community Practice
At our institution, we let the patient continue systemic treatment (AI or chemo based on phenotype) with plan for re-excision once COVID-19 settles down and then RT.
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Radiation Oncologist at Radiotherapy Cancer Center (RTCC)
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