65 yo with 1.7 cm right breast IDC, Grade 2, +LVSI, ER/PR/HER2/neu+, s/p lumpectomy and SLND. 1/1 SLN+ with micromet (1.9 mm). No further LND.
Patient received and completed adjuvant chemo.
For RT: Tangents alone, high-tangents, or regional nodal
MSK Nomogram says 23% risk of additional lymph nodes
MDACC: 40%
but patient would have technically also qualified for Z11 (Her2/neu was not used to exclude patients)
Thoughts?
Patient received and completed adjuvant chemo.
For RT: Tangents alone, high-tangents, or regional nodal
MSK Nomogram says 23% risk of additional lymph nodes
MDACC: 40%
but patient would have technically also qualified for Z11 (Her2/neu was not used to exclude patients)
Thoughts?