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Topics:
Breast Cancer • Radiation Oncology
What treatment fields do you use for N1mi breast cancer after lumpectomy/SLNB?
Comprehensice RNI? High tangents? Whole breast only? Does ER/PR/Her2 status influence your decision?
Answer from: Radiation Oncologist at Community Practice
We treat with modified tangents including level 1 and 2 nodes in tangential beam for micrometastases. ER, PR, and her2 neu or oncotype does influence the decision for micrometastases after lumpectomy.
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Answer from: Radiation Oncologist at Academic Institution
Agree with Dr. @Sushil Beriwal above. N1mic overall has low chances of regional recurrence even with whole breast only. I typically use high tangents to include the low axillary LNs. However, one should keep in mind that high tangents are more of a logical compromise and no large prospective randomi...
Comments
Radiation Oncologist at Munson Medical Center
I'd add triple negative with micromets as one of t...
I'd add triple negative with micromets as one of t...
Radiation Oncologist at Jacob E Locke MD PA
Please elaborate on what you mean by cheating in Z...
Please elaborate on what you mean by cheating in Z...
Radiation Oncologist at TSPMG/Kaiser Permanente
@Jacob E. Locke, although the Z0011 protocol requi...
@Jacob E. Locke, although the Z0011 protocol requi...