Synchronous Bilateral Breast Cancer: Implications for Adjuvant Radiation

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Author Info

Naamit K. Gerber Susanna Nguy

Corresponding Author

Naamit K. Gerber
Department of Radiation Oncology, New York University School of Medicine, New York, United States

A B S T R A C T

We present the case of a 55-year old postmenopausal female with bilateral early stage clinically node negative breast cancer who was treated with bilateral lumpectomy with axillary lymph node dissection revealing N1a nodal disease in her right breast with extra-nodal extension and micrometastatic disease in her left breast. Given the controversy in management for low nodal burden for macroscopic and microscopic nodal disease, we review the key trials in regional nodal management that have included patients with low nodal burden to explain our reasoning for treatment decisions. Our patient was treated with both hypofractionation and conventional treatment. She is an excellent teaching case to demonstrate how much of an impact the decision regarding fractionation can have on long term breast cosmesis and toxicity.

Article Info

Article Type

Research Article

Publication history

Received: Wed 25, Sep 2019
Accepted: Mon 14, Oct 2019
Published: Thu 24, Oct 2019

Copyright

© 2023 Naamit K. Gerber. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.GCCR.2019.01.04