Table 14. Recommendations of adjuvant radiotherapy for patients after breast-conserving surgery.
Stratification | Level I recommendations | Level II recommendations |
---|---|---|
DCIS | WBI ± tumor bed boost (2B) | APBI (2A) |
Invasive carcinoma (negative axillary lymph nodes) | WBI (1A) ± tumor bed boost (1B) | (I) APBI (2A) |
(II) Whole-breast one-week hyperfractionated schedule (2A) | ||
(III) WBI ± tumor bed boost + regional lymph node radiotherapy (2B) | ||
Positive axillary lymph nodes, with axillary lymph node dissection | WBI ± tumor bed boost + regional lymph node radiotherapy (1B) | WBI ± tumor bed boost (2B) |
1–2 positive sentinel lymph nodes, without axillary lymph node dissection | WBI + tumor bed boost (1A) | WBI + tumor bed boost + regional lymph node radiotherapy (including axilla) (2B) |
≥3 positive sentinel lymph nodes, without axillary lymph node dissection | − | WBI + tumor bed boost + regional lymph node radiotherapy (including axilla) (2B) |
DCIS, ductal carcinoma in situ; WBI, whole breast irradiation; APBI, accelerated partial breast irradiation.