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Target for RT after PST, ongoing trials

cN1 NAC ypN0

NSABP B-51

Standard versus comprehensive radiotherapy in treating patients with no

residual nodal disease after NAC

cT1-3N1M0

Needle biopsy demonstrating nodal disease before NAC

NAC

Surgery + ALND/SNB with nodal pCR

Randomisation

BCS: WBI vs WBI + RNI

Mastectomy: PMRT (chest wall + RNI) vs no PMRT

N=1636

Start 2013, estimated end of accrual 2023

Primary endpoint: any event (LR, RR, DM, death)