Would you offer regional nodal irradiation for cN1 breast cancer patients who undergo neoadjuvant chemotherapy and experience a complete nodal response?

Assume she refused enrollment on B51.

Answer from: Radiation Oncologist at Academic Institution

This issue frequently comes up in patients where there appears to be equipoise in treating or not treating the regional nodes in breast conserving therapy (or offering post-mastectomy chest wall and regional nodes in mastectomy patients) with a complete pathologic response or conversion to node nega...

Comments

Radiation Oncologist at Meadowview Regional Medical Center
I agree this is my policy especially with high ris...

Radiation Oncologist at Duke University Medical Center
Dr Haffty makes the important point that the stand...

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Would you offer regional nodal irradiation for cN1 breast cancer patients who undergo neoadjuvant chemotherapy and experience a complete nodal response?

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