In a patient with early stage breast cancer previously treated with lumpectomy and RT, how would you manage a node positive recurrence s/p lumpectomy and SNB?  

I have never done RT in a clinical situation like this. The risk of IBTR with partial breast RT in conjunction with nodal RT is not known. Besides, the risk of morbidity with overlap of nodal RT may be high when combined with previous breast RT with low lying axilla.

If I understand the case correctly, the patient had breast conservation with whole breast irradiation following lumpectomy. Now with recurrence in breast and nodes. In terms of re-treatment, how long has it been since original course of treatment? Did patient get SLN or ALND? If it's been >...