Would you consider radiation omission for a patient with a Stage I breast cancer with an elevated Oncotype Dx?

I would offer the patient treatment based on the fact that she is in her 60s with a presumably long life expectancy, a high grade lesion, and radiation will lower her risk of local recurrence significantly. Even with a lower Oncotype, radiation will lower the risk of recurrence significantly accordi...

If a patient can get a screening mammogram, a diagnostic mammogram, a wire/seed guided localization, a segmental mastectomy +/- SLN bx, consideration of chemotherapy, consideration of 5+ years of ET, why would a 5-day course of whole breast RT/APBI that reduces recurrence by 60-80+% depending on the...