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Breast Cancer • Radiation Oncology
Would you offer PMRT for an axillary-only recurrence after a remote mastectomy and ALND in a patient with early stage breast cancer?
In a patient with a T1 breast cancer who underwent mastectomy and ALND and recurred in the axilla a year later, would you offer RT to the chest wall and draining lymphatics after her second ALND?
Answer from: Radiation Oncologist at Academic Institution
Yes. This patient's relatively early recurrence in the axilla is an indicator of either suboptimal initial surgery, aggressive biology, or both. Following axillary dissection, chemotherapy may be warranted and a discussion with the medical oncologist is certainly appropriate. Following chemotherapy,...
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Answer from: Radiation Oncologist at Community Practice
ABSOLUTELY, THIS PATIENT SHOULD RECEIVE RT TO CHEST WALL AND ALL DRAINING LYMPHATICS.