Topics:
Breast Cancer • Radiation Oncology
Would you give/omit regional nodal irradiation in low nodal burden ER- Her2+ disease s/p BCS with SLNB?
e.g. Gringas et al., JNCI 2017, a secondary analysis of the ALTTO trial?
Answer from: Radiation Oncologist at Academic Institution
When I evaluate patients in this situation, BCS + SLN with positive node, I tend to think about the decision as to the whole breast RT+/- RNI and use AMAROS/Z011 to frame my decision making.In an ER-negative patient, I would favor RNI, extrapolating from MA20 (where patients had an ALND, and 85% 1-3...
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