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Radiation therapy indications for mastectomy patients

INDICATIONS FOR POST-MASTECTOMY RADIATIO THERAPY

  • N2 or more
  • Primary tumor > 5 cm
  • Margin positive or close
  • N1 with ONE of following risk factors: T2, ER (-), age ≦ 40, and prominent LVI
  • T2N0 with TWO of following risk factors: ER (-), age≦40, and prominent LVI (optional)
  • Gross multifocal disease with ONE of following risk factors: T2, ER (-), age ≦40, and prominent LVI

LVI: Lymphovascular invasion

Accelerated Partial Breast Irradiation (APBI) principles of radiation therapy in breast cancer Re-radiation for postop partial breast radiation who had previous breast radiation