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Breast Cancer • Radiation Oncology • Medical Oncology • Surgical Oncology • Breast Surgery • NCI-CCC Tumor Board Question • Yale
What is your approach to young healthy women with locally advanced breast cancer and biopsy-proven low cervical lymph nodes?
Would you treat this as a locally advanced breast cancer and offer surgery, radiation, and systemic therapy? Does your management change depending on whether the tumor is HR+, Her2+, or triple negative?
Answer from: Radiation Oncologist at Community Practice
At this point, we treat them with definitive intent as most often these low cervical nodes are level 4 or adjoining level 5 node which by definition are supraclavicular nodes (often radiologists call them as cervical nodes but one needs to see images to confirm location). A subset of patients with t...
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Answer from: Radiation Oncologist at Academic Institution
If truly localized, I take a definitive approach as well. I have trouble going from definitive intent tri-modality therapy to chemo only just because the lymph node was a cm higher than some arbitrary line we made up. No difference based on receptor status. In general, neoadjuvant chemo, then if PR/...
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Radiation Oncologist at Naval Medical Center San Diego
If the cervical lymph nodes are resectable (i.e. s...
If the cervical lymph nodes are resectable (i.e. s...
Radiation Oncologist at USC Keck School of Medicine
Multidisciplinary discussion, but for young patien...
Multidisciplinary discussion, but for young patien...