When would you consider omitting breast radiation in a <65 yo woman who is s/p BCS?
If a patient meets all omission criteria per CALGB and PRIME except age would you consider omitting RT? Is there any evidence for such an approach?
Answer from: Radiation Oncologist at Academic Institution
Off trial, I do not consistently recommend omission of radiation for patients younger than 65. There are studies underway looking at omission in lower risk (ex. luminal A) in patients younger than 65 and studies looking at older randomized trials suggest such a low risk cohort may exist.I do conside...