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Breast Cancer • Radiation Oncology
What volume would you treat for an isolated axillary recurrence after BCS and whole breast RT who have resection of the recurrent disease?
Would you treat the regional nodes alone (not previously irradiated) or would you also re-treat the breast/chest wall?
Answer from: Radiation Oncologist at Community Practice
In the case of prior whole breast (or chest wall only) radiation, I would typically only treat the nodal region after a isolated regional recurrence. The target volume should include at least the undissected axilla and infra/supraclavicular stations. I have not treated the IMNs after an ...
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Answer from: Radiation Oncologist at Community Practice
In such situation, presuming breast imaging is normal, I have only treated regional nodal areas including level 1 and 2 and undissected level 3 and supraclavicular region
Comments
Radiation Oncologist at Piedmont Radiation Oncology
What doses would you use if the nodal recurrence i...
What doses would you use if the nodal recurrence i...
Radiation Oncologist at Varian Medical Systems/Allegheny health network
Would take to 60-66 Gy in conventional fractionat...
Would take to 60-66 Gy in conventional fractionat...
Answer from: Radiation Oncologist at Academic Institution
After resection of an isolated axillary recurrence, we would typically treat the regional lymphatics comprehensively but not re-irradiate the breast or chest wall. I would generally include the IMNs as they are at risk of harboring microscopic disease in the setting of a positive axilla and potentia...