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Practice Point
Radiation therapy of nodal basins #1
For patients with 4 or more nodes involved, offer radiation of the nodal basins in addition to the chest wall or whole breast.
'Moderate' confidence that the recommendation reflects the net effect of a given course of action
How this guidance was developed
The extent of nodal irradiation is an area of ongoing debate and research (ACS/ASTRO/SSO 2016 Focused guideline update on postmastectomy radiotherapy).
This practice point was developed using an expert consensus process. A potentially relevant ‘moderate’ (using ASCO methods) source recommendation was identified from the ASCO/ASTRO/SSO 2016 guidelines (US) that provided guidance regarding radiation therapy of the nodal regions. This recommendation was not adopted or adapted because it was considered too detailed.
Radiation therapy of nodal basins #1
Practice Point
For patients with 4 or more nodes involved, offer radiation of the nodal basins in addition to the chest wall or whole breast.
Principles in action
Safe and quality care
The extent of nodal irradiation is an area of ongoing debate and research (ACS/ASTRO/SSO 2016 Focused guideline update on postmastectomy radiotherapy).
This practice point was developed using an expert consensus process. A potentially relevant ‘moderate’ (using ASCO methods) source recommendation was identified from the ASCO/ASTRO/SSO 2016 guidelines (US) that provided guidance regarding radiation therapy of the nodal regions. This recommendation was not adopted or adapted because it was considered too detailed.