Topics:
Breast Cancer • Radiation Oncology
Would you recommend removal of pec muscle for a positive microscopic deep margin post mastectomy?
Would you recommend this for a focally +, diffusely +, grossly + margin? What would you expect local recurrence rate for diffusely (+) microscopic margin after PMRT?
Answer from: Radiation Oncologist at Community Practice
Pec fascia and muscle involvement is independent risk factor for local relapse even with negative margin. The situation is not common but for micrcscopic positive margin have offered PMRT with additional boost to area of close margin ( 60-66 Gy and used pre surgery imaging to identify area of positi...
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