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 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.