Would you consider regional nodal irradiation for a patient who refused initial adjuvant breast RT who now presents with locally recurrent multifocal breast cancer s/p lumpectomy with positive margins and no nodal evaluation?

Answer from: Radiation Oncologist at Community Practice

I would recommend margin re-excision with a sentinel node biopsy at that time prior to any radiation. If the SNB is negative, I would not recommend coverage of the regional nodes.

Answer from: Radiation Oncologist at Community Practice

Re-excision and repeat SNLN. If can’t track/identify SNLN, then breast with level 1 and 2 nodes in tangent beam.

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Would you consider regional nodal irradiation for a patient who refused initial adjuvant breast RT who now presents with locally recurrent multifocal breast cancer s/p lumpectomy with positive margins and no nodal evaluation?

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