In patients who had a lumpectomy alone without nodal evaluation for early stage breast cancer, how do you determine whether additional surgical LN evaluation is necessary?

If no surgical LN evaluation is performed, how do you determine what volumes to include in your radiation fields?

Answer from: Radiation Oncologist at Community Practice

In general, unless a patient is 70 and above with favorable phenotype breast cancer where choosing wisely favors no assessment of axilla surgery, everybody at this point gets SNLN bx. There are ongoing studies exploring skipping SNLN in clinically negative early stage breast cancer for other age gro...

Comments

Radiation Oncologist at Fort Bend Medical and Diagnostic Center
In those patients above the age of 70 where choosi...

Radiation Oncologist at Vanderbilt-Ingram Cancer Center
It does not for me, and shouldn't, IMO. It's the s...

Radiation Oncologist at Kaiser Permanente
How about if the patient declines anti-estrogen?

Radiation Oncologist at Stanford University
If the patient is declining endocrine therapy, it ...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
If I am treating the whole breast, I would modify ...

Radiation Oncologist at Vanderbilt-Ingram Cancer Center
Agree with Dr. @Andrew P. Martella to do WBI if th...

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In patients who had a lumpectomy alone without nodal evaluation for early stage breast cancer, how do you determine whether additional surgical LN evaluation is necessary?

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