What is your approach to a patient with incidentally found DCIS or invasive disease after a breast reduction?

Generally, the margins are uncertain in this scenario and re-excision is usually not possible.

Answer from: Radiation Oncologist at Community Practice

Typically, in these cases I will give standard whole breast irradiation (40/15). I have not boosted as it's often unclear where the boost target is.

Comments

Radiation Oncologist at Blanchard Valley Hospital
Thank you - how do you address the axilla in cases...

Radiation Oncologist at Allegheny Health Network, Pittsburgh
For DCIS, don't routinely push for SLN. For invasi...

Radiation Oncologist at Varian Medical Systems/Allegheny health network
Sometimes for these small incidentally diagnosed l...

Radiation Oncologist at Naval Medical Center San Diego
I have a male patient in his 20s with bilateral G1...

Radiation Oncologist at Allegheny Health Network, Pittsburgh
I would wait for genetics; if BRCA mutation, would...

Radiation Oncologist at Naval Medical Center San Diego
Margins negative but close <1 mm bilaterally (n...

Radiation Oncologist at Allegheny Health Network, Pittsburgh
I would think so, there is not a lot of data on th...

Radiation Oncologist at Naval Medical Center San Diego
Thanks!