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		<title>Breast Case #2 (ported from radonc.wikidot)</title>
		<link>http://isocentre.wikidot.com/forum/t-257649/breast-case-2-ported-from-radonc-wikidot</link>
		<description>Posts in the discussion thread &quot;Breast Case #2 (ported from radonc.wikidot)&quot; - post lumpectomy</description>
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				<guid>http://isocentre.wikidot.com/forum/t-257649#post-845740</guid>
				<title>Re: Breast Case #2 (ported from radonc.wikidot)</title>
				<link>http://isocentre.wikidot.com/forum/t-257649/breast-case-2-ported-from-radonc-wikidot#post-845740</link>
				<description></description>
				<pubDate>Sun, 08 Aug 2010 16:12:38 +0000</pubDate>
				<wikidot:authorName>Nikhilesh Patil</wikidot:authorName>				<wikidot:authorUserId>416151</wikidot:authorUserId>				<content:encoded>
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						 <p>I will ask for re-excision. Followed by Chemo, RT and Harmonal manipulation.<br /> Nikhilesh</p> 
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				<guid>http://isocentre.wikidot.com/forum/t-257649#post-845693</guid>
				<title>Re: Breast Case #2 (ported from radonc.wikidot)</title>
				<link>http://isocentre.wikidot.com/forum/t-257649/breast-case-2-ported-from-radonc-wikidot#post-845693</link>
				<description></description>
				<pubDate>Sun, 08 Aug 2010 14:51:09 +0000</pubDate>
				<wikidot:authorName>Rohit Malde</wikidot:authorName>				<wikidot:authorUserId>418807</wikidot:authorUserId>				<content:encoded>
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						 <p>1. See HPR carefully,</p> <p>If margins focally positive ====&gt; Adjuvant RT + Boost<br /> If margins grossly positive ====&gt; Re-resection ====&gt; Adj RT (No Boost)<br /> If mastectomy ====&gt; No Adj RT indicated.</p> <p>RT: 40&#160;Gy / 15 # / 3 weeks +/- BOOST of 12.5&#160;Gy / 5 # or 16&#160;Gy / 8 #</p> <p>2. Letrozole 2.5&#160;mg OD x 5 years [ensure has DEXA scan as baseline]</p> <p>3. Chemotherapy: absolute benefit is too low at 1.1% (hence not recommended)</p> 
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				<guid>http://isocentre.wikidot.com/forum/t-257649#post-845458</guid>
				<title>Breast Case #2 (ported from radonc.wikidot)</title>
				<link>http://isocentre.wikidot.com/forum/t-257649/breast-case-2-ported-from-radonc-wikidot#post-845458</link>
				<description></description>
				<pubDate>Sun, 08 Aug 2010 02:34:23 +0000</pubDate>
				<wikidot:authorName>AAM</wikidot:authorName>				<wikidot:authorUserId>61952</wikidot:authorUserId>				<content:encoded>
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						 <p>60 Female Post lumpectomy ;<br /> T2 ( 2.5cm ) ; N0 ; M0<br /> Positive margins<br /> No LVI; No necrosis; ER/PR +; HER2 Neg</p> <ul> <li>Options?</li> </ul> 
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