Breast: one and done

Started by scarbrtj
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RadOncDoc21 said:
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”
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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.
 
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scarbrtj said:
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
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And this is exactly why I almost never treat uninvolved IMNs routinely. Doing so would make me a hypocrite.
 
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