Breast Cancer Decision Aids for Radiation Oncology

We have collected some easily available decision aids for breast cancer. You may find them helpful to personalize evidence-based medicine for radiation oncology.

Axillary Node Involvement

Clinically Node Negative

Chance of positive sentinel node biopsy:        Memorial Sloan-Kettering Cancer Center

Clinically Node Negative, Sentinel LN+

Presence of any more positive nodes:        Memorial Sloan-Kettering Cancer Center

MD Anderson Cancer Center

Presence of ≥4 positive nodes:                    Massachusetts General Hospital

Breast Conservation

Breast Conserving Surgery                         MD Anderson Cancer Center

with Neoadjuvant Chemotherapy                 Seoul, Korea

Chance of Positive Margins                        UMC Groningen

Local recurrence after lumpectomy

Invasive                                                        IBTR! (Tufts)

      EORTC (abstract only)

DCIS                                                              Memorial Sloan-Kettering Cancer Center

Metastasis-free survival with lumpectomy

Older women (66-79)                                 MD Anderson Cancer Center

Treatment Morbidity

Risk of Lymphedema                                    ENSP/FIOCRUZ (Brazil) – hosted by Cleveland Clinic

Tumor Response

pCR with Neoadjuvant Chemotherapy    MD Anderson Cancer Center