TY - CHAP M1 - Book, Section TI - Radiation Therapy for High-Risk Breast Cancer A1 - Ferro, Adam A1 - Zellars, Richard A2 - Morita, Shane Y. A2 - Balch, Charles M. A2 - Klimberg, V. Suzanne A2 - Pawlik, Timothy M. A2 - Posner, Mitchell C. A2 - Tanabe, Kenneth K. PY - 2018 T2 - Textbook of Complex General Surgical Oncology AB - Radiotherapy is utilized as a part of breast-conserving therapy (lumpectomy followed by radiation therapy) or as an adjuvant therapy to mastectomy. This chapter focuses on recommendations for the use of adjuvant radiation therapy in the treatment of lymph node positive and high-risk lymph node negative breast cancer. Lower-risk disease will be covered in other chapters. Adjuvant radiation therapy recommendations for patients with node-positive disease are equally applicable in both mastectomy and breast-conserving therapy patients in most cases. Thus, the following recommendations for postmastectomy radiation therapy can be used interchangeably with patients treated with breast-conserving therapy. Controversial management decisions in the setting of one to three positive nodes, neoadjuvant chemotherapy, positive/close mastectomy margins, and T3N0 primary tumors will be covered in this chapter. SN - PB - McGraw-Hill Education CY - New York, NY Y2 - 2024/03/28 UR - accesssurgery.mhmedical.com/content.aspx?aid=1145760765 ER -