What dose and volume(s) would you consider for a young woman with an axillary nodal recurrence from breast cancer s/p TBI as well as chest wall (only) radiation?

TBI was 20 years ago, chest wall RT was 8 years ago. The solitary nodal recurrence in axilla was resected, but with ENE+, PNI+, with no further surgery options. Would you boost the nodal area?

Answer from: Radiation Oncologist at Community Practice

I would consider RT to the undissected axilla and supraclavicular region and limit the dose to 45 Gy in 25.

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Radiation Oncologist at University of Cincinnati Cancer Center
What would you estimate risk in the IMNs is? Would...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
No recent data but in the old Halverson study, it ...

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What dose and volume(s) would you consider for a young woman with an axillary nodal recurrence from breast cancer s/p TBI as well as chest wall (only) radiation?

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