BRCA2 Carriers Pts seen for ca genetic consultation who received BRCA gene testing. No medical contraindication to ALND or post-op breast irridation. Lumpectomy margins free of disease.
Sentinel node contains metastatic breast cancer.
Tumors must be amenable to segmental mastectomy. No prior chemo. Five Years of Tamoxifen Therapy Should have rec'd Tamoxifen for total of 57-66 months. Must have had modified rad. mastectomy or lumpectomy and axillary dissection for invasive adenoca. Proven DCIS or invasive ca.