Is internal mammary nodes irradiation as a part of breast cancer postoperative radiotherapy necessary?

J Thorac Dis

Department of Radiation Oncology, Fudan University Shanghai Cancer Center, Shanghai 200032, China;; Department of Oncology, Shanghai Medical College, Fudan University, Shanghai 200032, China.

Published: November 2016

AI Article Synopsis

  • * This review emphasizes considering the overall risk of cancer relapse when deciding on IMNI.
  • * IMNI is particularly recommended for high-risk patients with tumors in central/medial areas or those with positive axillary lymph nodes.

Article Abstract

Postoperative radiotherapy plays an important role in the multidisciplinary treatment of breast cancer. However, it remains a controversy whether it is necessary to carry out prophylactic internal mammary nodes irradiation (IMNI). This review will focus on this topic. In our opinion, the total risk of relapse should be considered during the decision-making on IMNI; in particular, IMNI is recommended for high-risk patients whose tumor is located at the central/medial area or in patients with positive axillary lymph nodes.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5179409PMC
http://dx.doi.org/10.21037/jtd.2016.11.12DOI Listing

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