Breast: one and done

[scarbrtj]

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This goes back to one of my prior comments, rad oncs hurt each other in the worst ways just to gain on an independent level.

I also like the term “radiotherapist”

In tumor board if a surgeon refers to us as "radiotherapists," I make sure to use "surgerize" in a sentence somehow. It's a word that seems to really make them strangely mad. Kind of like Uncle Buck's hat.

 

[drewdog1973]

He and Dattoli sounds like they could be pals.

 

[scarbrtj]

Maybe zero and done? And ageism?

"Rad oncs": ~9% local control benefit with RT (p<0.0001), but no OS benefit, in older breast patients... ∴ RT not nec. standard of care
(Also rad oncs: ~2.5% local control benefit with ENI RT (p=0.024), but no OS benefit... ∴ ENI RT is standard of care.)

SABCS 2020: Radiotherapy Omission After Breast-Conserving Surgery for Older Patients With HR-Positive Breast Cancer

 

[RickyScott]

He and Dattoli sounds like they could be pals.

hires every year. does not have a great rep to put it mildly, but I am sure has a ton of applicants this year.

 

[medgator]

hires every year. does not have a great rep to put it mildly, but I am sure has a ton of applicants this year.

Haven't seen him advertise in awhile fwiw, plus i guess he is treating more than prostate now? Maybe needs someone to bring him up to speed?

 

[scarbrtj]

hires every year. does not have a great rep to put it mildly, but I am sure has a ton of applicants this year.

If you say "prostate hypofractionation" around Dattoli he has a reaction like that girl in 'Knives Out.'

 

[FrostyHammer]

Maybe zero and done? And ageism?

"Rad oncs": ~9% local control benefit with RT (p<0.0001), but no OS benefit, in older breast patients... ∴ RT not nec. standard of care
(Also rad oncs: ~2.5% local control benefit with ENI RT (p=0.024), but no OS benefit... ∴ ENI RT is standard of care.)

SABCS 2020: Radiotherapy Omission After Breast-Conserving Surgery for Older Patients With HR-Positive Breast Cancer

And this is exactly why I almost never treat uninvolved IMNs routinely. Doing so would make me a hypocrite.