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adjuvant radiation therapy for breast cancer

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