| You are here: Home: BCU 4|2002: Program Supplement: Postmastectomy Radiation Therapy
| Postmastectomy
Radiation Therapy |
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| Would you recommend postmastectomy
radiation therapy for the following patients with 4.2
cm tumors? (percent answering yes)
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The 2000 NIH Consensus Conference and the NCCN guidelines indicate
that postmastectomy radiation therapy is standard for women with
four or more positive axillary lymph nodes. A small but significant
fraction of physicians do not follow this practice, and many respondents
indicate that they recommend radiation therapy for women with three
positive nodes. Age does not seem to be an important factor in this
decision. Patients with one to three positive nodes are currently
being studied in a large Interg roup randomized clinical trial.
Arriagada R. Radiotherapy for breast cancer. N Engl J
Med 2002; 346 ( 11):862-4. Abstract
Hurkmans CW et al. Reduction of cardiac and lung complication
probabilities after breast
irradiation using conformal radiotherapy with or without intensity
modulation. Radiother Oncol 2002;62(2):163-71. Abstract
Pierce LJ. Treatment guidelines and techniques in delivery of
postmastectomy radiotherapy in management of operable breast cancer.
J Natl Cancer Inst Monogr 2001;30:117-124. Abstract
Recht Aet al. Postmastectomy radiotherapy: Clinical practice
guidelines of the American Society of Clinical Oncology. J
Clin Oncol 2001;19(5):1539-69. Abstract
Vallis KA et al. Assessment of coronary heart disease morbidity
and mortality after radiation
therapy for early breast cancer. J Clin Oncol 2002;20(4):1036-42.
Abstract
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