Would you consider catheter-based APBI in the setting of a recurrent Stage I breast cancer in a patient who has received whole breast radiotherapy and is refusing mastectomy?   

I have done case by case based on affect of previous RT on breast and expected cosmetic and disease outcome after re-irradiation. Our default preference for patient suitable for re-irradiation is 1.5 BID to 45 Gy treating partial breast like RTOG study although in few patients have used balloon base...