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Breast Cancer • Radiation Oncology
In the post-mastectomy setting, are there situations where only the regional nodes or targeted nodal basis are covered?
How should ECE influence radiotherapy in breast cancer?
For T1-2 patients with N1 disease after sentinel node biopsy alone and upfront mastectomy (grade 1-2, ER/PR+ HER2-, margins clear) when the only indication is measurable ECE (no free deposits in the axillary tissue). Axillary dissection seems overtreatment, as does full RNI-IMN, but no RT to the axilla seems undertreatment
Answer from: Radiation Oncologist at Community Practice
In the AMAROS study, they did allow regional nodal RT without treating the chest wall for a situation like this. In practice, I have avoided this unless morbidity is high like impact on reconstruction or it is in a reradiation setting.
Comments
Radiation Oncologist at West Virginia University
Not sure what the benefit would be to treat the ch...
Not sure what the benefit would be to treat the ch...
Radiation Oncologist at Northeast Oklahoma Cancer Center
The origins for treating the chest wall date back ...
The origins for treating the chest wall date back ...
Answer from: Radiation Oncologist at Community Practice
Born too late to explore the earth, born too early to explore the stars, burn just in time to use 2024 technology to deliver treatment based on 1994-quality data.
Laying aside the "ECE" issue for a second, I think these are reasonable questions to ask in the era of modern systemic therapy. I think ...
Thanks Dr. @Marks, indeed, very helpful. Would thi...