NCCN Guidelines for Patients® | Stages I and II Breast Cancer - page 75

NCCN Guidelines for Patients
®
Stages I and II Breast Cancer, Version 1.2014
73
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Treatment for recurrence Treatment for lymph node recurrence
Treatment for lymph node recurrence
The cancer may return to your lymph nodes with or
without a local recurrence. If cancer is found in your
axillary lymph nodes, surgery and radiation therapy is
recommended. Radiation therapy should target your
chest wall, the side of your body under the armpit
(axilla), and the lymph nodes around your collarbone.
Supraclavicular lymph nodes are located above
the collarbone and internal mammary nodes are
located along the breastbone. When cancer is found
in either your supraclavicular or internal mammary
lymph nodes, radiation therapy without surgery is
suggested. For a supraclavicular recurrence, radiation
should target your chest wall and your lymph nodes
around the collarbone. For an internal mammary
recurrence, radiation should target your chest wall,
internal mammary nodes, and nodes around the
collarbone. For all recurrences, adjuvant treatment
with chemotherapy, chemotherapy with trastuzumab,
or hormone therapy may be given.
Lymph node recurrence
Lymph node site
Treatment for recurrence
Armpit (axillary)
If possible, surgery and radiation therapy to the chest wall, axilla, and
nodes around the collarbone. Consider adjuvant treatment.
Above the collarbone
(supraclavicular)
If possible, radiation therapy to the chest wall and nodes around the
collarbone. Consider adjuvant treatment.
Just inside the ribs near the
breast bone (internal mammary)
If possible, radiation therapy to the chest wall and nodes around the
collarbone and along the breastbone. Consider adjuvant treatment.
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