Should patients receive PMRT if they just have a positive internal mammary lymph node on imaging and a negative axillary dissection?   

I also agree with treating all the regional lymph nodes areas when IMN is positive and axilla is negative. Although a lot of data point towards the risk of having positive IMN increases with the presence of positive axilla, there are situations where the axilla is negative and the IMN is positive (d...

In these patients, we recommend PMRT as they have by definition advance stage (|||) disease. We treat the chest wall, entire IM chain, undissected axilla and supraclavicular region. We consider for boosting involved node to higher dose based on response to 54 to 59.4 Gy limitng critical organ dosage...