What dose can you give the axilla after 5040 cGy of prior radiation?

I have cases where the patient has previously received axillary RT (45-50 Gy usually) and end up with a recurrence where we would like to re-RT.

If they have surgery and have factors such as multiple nodes, ECE, I will re-irradiate to a dose of 45 Gy/1.8 Gy fx. There are data suggesting low rates of...

I am afraid the question does not include all the relevant information I would need in order to make a recommendation for reirradiation. Retreatment is a complex decision requiring an assessment as best as one can of the benefit:risk ratio. It is rarely curative, so one has first to ask what one is ...