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What is your preferred sequencing of adjuvant chemotherapy and PMRT for node + breast cancer?

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Mednet Member
Mednet Member
Radiation Oncology · Beth Israel Deaconess Medical Center

I addressed this issue for patients treated with breast-conserving surgery in May 2023; please see that answer for more details. To summarize, the toxicities from chemotherapy may be greater and its effectiveness reduced (at least for high-risk patients) when given after RT instead of before (Recht ...

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Mednet Member
Mednet Member
Radiation Oncology · Varian Medical Systems/Allegheny health network

Chemotherapy followed by PMRT. In the modern era, no strong argument but may be for positive margin or driven by the patient's desire (social or personal commitments).

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What is your preferred sequencing of adjuvant chemotherapy and PMRT for node + breast cancer? | Mednet