Is there a role for radiation in a patient with supraclavicular and cervical node recurrence of breast cancer after prior whole breast RT (no ENI)?

If there are small but numerous nodes involving levels II-IV and V on the ipsilateral side would you treat the lymph nodes if they had not previously received radiation?

Answer from: Radiation Oncologist at Community Practice

If there is no other site of metastatic disease and the above nodes are bx proven, then I would treat this like a regional node recurrence and treat the ipsilateral axilla, s/c, and neck with IMRT/IGRT with dose to the involved nodes to about 60-66 Gy.

Comments

Radiation Oncologist at Washington University School of Medicine
I agree with Dr. @Sushil Beriwal's overall recomme...

Radiation Oncologist at Rush University Medical Center
This patient is unlikely to do well, especially if...

Radiation Oncologist at Cleveland Clinic
I agree with Dr. @Sushil Beriwal. If surgery is no...

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Is there a role for radiation in a patient with supraclavicular and cervical node recurrence of breast cancer after prior whole breast RT (no ENI)?

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