NCCN Guidelines for Patients® | Stage III Breast Cancer
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64

NCCN Guidelines for Patients

®

:

Breast Cancer – Locally Advanced (STAGE III)

Version 1.2017

8

Recurrence

Review

Lymph node recurrence

Guide 15

lists the treatment options for a

recurrence in your lymph nodes. The cancer may

have also returned in or near your breast. Treatment

options are based on which lymph nodes have

cancer.

Axillary lymph nodes with cancer should be removed

if possible. Radiation therapy is also advised if

possible. Radiation sites include your chest wall,

near your armpit (axilla), and the lymph nodes

around your collarbone. You may receive systemic

treatment, too.

Cancer in supraclavicular or internal mammary

nodes may be treated with radiation. Radiation sites

include your chest wall and lymph nodes near your

collarbone. Internal mammary nodes with cancer

should be radiated, too. You may also receive

systemic treatment.

Review

†

†

Breast cancer may return after a cancer-free

period.

†

†

Tests of your health and the extent of the

cancer will be used to tailor treatment to you.

†

†

A local recurrence is the return of cancer in

the breast or chest wall. Treatment is based

on your prior treatment. Surgery is advised

if possible. Treatment should also include

radiation therapy if not received before.

Systemic treatment may be added.

†

†

Treatment for a regional recurrence depends

on which nearby lymph nodes have cancer.

Surgery with radiation therapy is advised for

cancer in axillary lymph nodes. Cancer in

other nearby lymph nodes may be treated with

radiation therapy. Systemic treatment may be

added for any lymph node recurrence.

Guide 15. Options for lymph node recurrence

Lymph node site

What treatment should I have?

Near your armpit (axillary)

ª

• Surgery if possible

• Radiation therapy if possible

• Consider systemic treatment

Above the collarbone (supraclavicular)

ª

• Radiation therapy if possible

• Consider systemic treatment

Just inside the ribs near the breast bone

(internal mammary)

ª

• Radiation therapy if possible

• Consider systemic treatment