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Breast Cancer • Radiation Oncology
Is it acceptable to omit post-lumpectomy radiation in an elderly patient with recurrent, ipsilateral breast cancer but low risk features?
If the patient meets the CALGB criteria for the current cancer, are there situations where you would omit RT in a patient who has never had RT? What if she previously had RT many years ago?
Answer from: Radiation Oncologist at Academic Institution
In terms of omitting post-lumpectomy radiation, its about assessing risk. If this is a recurrence in the same area or proximity ("true recurrence"), I would consider RT in light of recurrence particularly if time from original diagnosis was short.
If this was a recurrence in another quadrant or dis...
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