Table 1.
Priority level | Patient description |
---|---|
A |
·Bleeding/painful/symptomatic local, regional or metastatic disease ·Progression of disease during neoadjuvant chemotherapy |
B1 |
·Inflammatory BC after mastectomy ·LN + TNBC or HER2 + disease following mastectomy ·4 or more positive lymph nodes ·Residual and LN + disease following neoadjuvant chemotherapy |
B2 |
·1–3 positive lymph nodes following mastectomy ·TNBC or HER2 + , LN- s/p BCS ·Positive margin for invasive cancer s/p BCS with no alternative option (TNBC takes priority) |
B3 |
·Positive margin s/p BCS for invasive cancer with alternative therapy options ·Young age (≤ 40 yrs) s/p BCS, LN- with ≥ 1 high feature (LVI + , PNI +) ·ER- DCIS with positive margin |
C |
·All other DCIS · > 65 yrs, early stage, LN-, ER + /HER2- s/p BCS and taking endocrine therapy |
BC breast cancer, LN lymph node, TNBC triple negative breast cancer, HER2 human epidermal growth factor receptor 2, ER estrogen receptor, DCIS ductal carcinoma in situ