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84

NCCN Guidelines for Patients

®

Breast Cancer - Early-Stage

(STAGES I AND II)

, Version 1.2016

8

Breast cancer recurrence

Treatment options

Treatment options

Chart 8.2 Local recurrence only

Prior treatment

What treatment should I have?

• Breast-conserving therapy

• Total mastectomy,

• Axillary lymph node dissection, and

• Consider systemic treatment

• Total mastectomy

• Surgery if possible,

• Radiation therapy to the chest wall and

supraclavicular

and infraclavicular areas

, and

• Consider systemic treatment

• Total mastectomy,

• Axillary lymph node dissection, and

• Radiation therapy

• Surgery if possible, and

• Consider systemic treatment

Chart 8.3 Lymph node recurrence

Lymph node site

What treatment should I have?

• Axillary lymph nodes

• Surgery,

• Radiation therapy to the c

hest wall, axilla, and

supraclavicular and infraclavicular nodes, and

• Consider systemic treatment

• Supraclavicular lymph nodes

• Radiation therapy to the c

hest wall and supraclavicular

and infraclavicular nodes, and

• Consider systemic treatment

• Internal mammary lymph nodes

• Radiation therapy to the chest wall,

supraclavicular and

infraclavicular areas

, and internal mammary nodes, and

• Consider systemic treatment