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How do you approach the discussion of omission vs. inclusion of adjuvant radiation in patients with low to intermediate-grade DCIS?  

For additional reading, see JCO OGR (11/2021) by Drs. @Warren and @Bellon reviewing the landscape of adjuvant treatment after lumpectomy for DCIS and companion study with long-term outcomes from RTOG 9804 (@McCormick et al.).



Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at Lake Huron Medical Center
Agree with Dr. @Shah regarding the discussion. A f...
Radiation Oncologist at East Alabama Medical Center
How do you decide on treatment in patients with cl...
Radiation Oncologist at Cleveland Clinic
If negative using no tumor on ink, I am comfortabl...
Radiation Oncologist at East Alabama Medical Center
Do you mean the studies used to validate DCISionRT...
Radiation Oncologist at Cleveland Clinic
Correct. With elevated risk, I use PBI. However, t...
Radiation Oncologist at East Alabama Medical Center
Thank you 
Radiation Oncologist at Mon Health
When should we request a DCISionRT score?
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Answer from: Radiation Oncologist at Academic Institution
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Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist
Thank you for this excellent summary.
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Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at Cleveland Clinic
Very well stated. I will note that we are increasi...
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Answer from: Radiation Oncologist at Academic Institution
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Radiation Oncologist at Cleveland Clinic
Agreed. For 5 fx, do you do offer off protocol per...
Radiation Oncologist at USC Keck School of Medicine
Yes, I do. However, I prefer to get them on protoc...
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Answer from: Radiation Oncologist at Academic Institution
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Answer from: Radiation Oncologist at Community Practice
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Radiation Oncologist at Cleveland Clinic
I think the comparison is not exactly apples to ap...
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