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Axillary RT

Considered if:

– Low-axillary dissection only

– No axillary dissection

– And ?alternative to surgery if SLN+ (Aramos, ASCO 2013)

– Rarely following full nodal dissection

Clinical series:

– With RT, LR < 5% but

toxicity

Dose schedule: < 60Gy

– 50Gy/25

Technique:

– Direct anterior field + posterior boost