Breast is the worst: another, another case!

Another case for the thread given title. 42 yo with cT1cN0 ERPR- HER2+ at 2:00 in the right breast who got NA TCHP. Lumpectomy with ypT1bN0 but with ITCs in 1 of 3 nodes. I'm wondering about RNI given medial location, lack of CR and ITCs in one of the nodes. Also, wondering about completion ax dissection vs going forward with RT. I'm up for being convinced to do as little as possible.
Source: Student Doctor Network - Category: Universities & Medical Training Authors: Tags: Radiation Oncology Source Type: forums