Would you offer nodal RT for pT2N0 triple negative breast cancer s/p BCS?
Or would you offer high tangents with hypofractionation?
Answer from: Radiation Oncologist at Community Practice
I agree with above and generally haven't routinely offered RNI for such patients. However, I consider making an exception in the setting of a tumor with multiple risk factors, such as medial location, young age, large T2, poor response to neo-adjuvant chemotherapy (so cT2N0, ypT2N0) with LVI, ...
Answer from: Radiation Oncologist at Community Practice
In addition to what others have said, whole breast alone should be of strong considerationHowever, the question of adding comprehensive regional nodal irradiation (C-RNI) for node negative (N0) patients is an intriguing one. Both MA.20 and EORTC 22922/10925 had a subset of patients who were N0. Both...
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Radiation Oncologist at Northeast Alabama Regional Medical Center I agree with everybody here. And I'll even advocat...
Answer from: Radiation Oncologist at Academic Institution
In my opinion, 2 separate answers are needed.
For high tangents, I absolutely offer hypofractionation to all patients regardless of receptor status, age, etc.
For regional nodal irradiation, my typical approach depends on surgery. If mastectomy with reconstruction,I offer the patient the alliance ...
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Radiation Oncologist at Lexington Clinic I think my question may not have been well-worded....
Radiation Oncologist at Cleveland Clinic While I have concern in those patients and conside...
Radiation Oncologist at Lexington Clinic thanks so much for your input
Radiation Oncologist at Varian Medical Systems/Allegheny health network Would do breast only RT
Radiation Oncologist at Weill Cornell Medical College i would recommend breast RT only using Hypofractio...
Radiation Oncologist at Henry Ford Health System I don't routinely offer RNI for those patients and...