Would you offer radiation to an elderly patient with cT2N1 triple negative breast cancer, whose lumpectomy and ALND showed a complete response to neoadjuvant chemotherapy?

Is the competing risk of a distant recurrence too high to justify doing radiation?

Answer from: Radiation Oncologist at Academic Institution

Yes, would offer. This question is to be answered on NSABP B51, in regards to how to manage the axilla in patients who have a complete response in the nodes. All patients with intact breast receive at least breast RT. The primary endpoint is if breast/chest management with or without RNI will reduc...

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Radiation Oncologist at Mountain Radiation Oncology
This presentation at ASTRO might influence the dec...

Radiation Oncologist at Abramson Cancer Center, University of Pennsylvania
Yes, I would treat the supraclavicular nodes. On t...

Radiation Oncologist at Mountain Radiation Oncology
Yes. That study looked at adjuvant XRT. But, do yo...

Radiation Oncologist at Abramson Cancer Center, University of Pennsylvania
That’s a deeply interesting question and tho...

Answer from: Radiation Oncologist at Community Practice

Patients older than 70 years with an estrogen receptor-positive cancer can be spared RT after BCS as studies have not shown an overall survival benefit. This patient, however, does not meet that criteria. She was offered and appropriately given aggressive curative therapy. As such, I don't believe i...

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Radiation Oncologist at Comprehensive Cancer Centers of Nevada
Early or all stages, I would still offer RT is rec...

Radiation Oncologist at Nuclear Oncology Medical Care
Yes, radiation is still standard of care. If she w...

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Would you offer radiation to an elderly patient with cT2N1 triple negative breast cancer, whose lumpectomy and ALND showed a complete response to neoadjuvant chemotherapy?

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