Would the presence of a close but negative pleomorphic LCIS surgical margin impact your decision for APBI in a patient who is otherwise a favorable candidate?
Answer from: Radiation Oncologist at Academic Institution
There are evolving data and ideas around pleomorphic LCIS with some consideration of treating it like DCIS (Savage et al., PMID 29894223; Desai et al., PMID 29947004).As such, I would consider this margin similar to a close DCIS margin. If there is invasive disease with this, I am fine with no tumor...
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Radiation Oncologist at Varian Medical Systems/Allegheny health network If pure pleomorphic LCIS, we treat like high grade...
If pure pleomorphic LCIS, we treat like high grade...