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Annals of translational medicine 2015-05

Regional nodal management in the light of the AMAROS trial.

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How would you approach a patient who is s/p mastectomy with only DCIS in the breast and a large positive sentinel node?

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2 Answers
Mednet Member
Mednet Member
Radiation Oncology · Allegheny Health Network, Pittsburgh

If the patient had SLN only (no ALND), I would offer adjuvant radiation extrapolating from AMAROS. While only DCIS in the mastectomy specimen, nodal involvement suggests foci on invasion. Implant reconstruction may increase the complication profile but would not change my recommendation. Age < 50 wo...