Would you omit radiation for an elderly woman with bilateral breast cancers (both early-stage disease and ER+/PR+/HER2 negative) who otherwise meets the criteria for endocrine therapy alone?  

Yes. If the patient meets omission criteria on each side individually, then I offer omission to the patient overall as part of shared decision-making, although it is conceivable that the absolute benefit of radiation is doubled in this scenario. As usual, this assumes the patient will be compliant w...

"If an elderly patient can get a screening mammogram, diagnostic mammogram, core biopsy, segmental mastectomy and is considering taking a pill for 5 years, why would you not recommend APBI?" - Me, many times over the last several years 30/5 per Livi has incredibly good cosmetic outcomes. Based on ...