Would you recommend PMRT for T2N0(i+) breast cancer?

In this situation, I do not normally offer PMRT as long as margins are negative.

There are some that would consider in this scenario if triple negative but I don’t usually.

Not routinely. Would consider discussion if young age and multiple other risk factors - TNBC, margin concern, dermal LVSI/involvement, or treatment response seen in the other nodes.

Hello. I have a similar patient in her late 20s with left breast T2N0(i+) IDC, central/retroareolar location, s/p bilateral TMs, L SLNBx, and tissue expander reconstruction. Pathology: T2 (3.6 cm) IDC, poorly differentiated, extensive-LVSI, anterior margin 1.5 mm, 0/6 LNs+ (2 LNs with ITCs). ER+ PR+...