Post-mastectomy Radiation, All in

This 47-year-old premenopausal woman with T3N0 breast cancer has what some would consider borderline indications for postmastectomy radiation (PMRT). To specifically address the 3 questions posed: (1) Yes, I would offer PMRT; (2) I would treat the chest wall, supraclav, axilla, and internal mammary chain to 50 Gy; and (3) reconstruction would not affect my decision to treat.

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