No randomized data are available to characterize the overall survival (OS) impact of postmastectomy radiation (PMRT) and regional nodal irradiation (RNI) after neoadjuvant chemotherapy for breast cancer. In a study of over 15,000 cN1 women in the NCDB, PMRT was associated with improved OS for all pathologic nodal subgroups (ypN0, ypN1, ypN2-3); no OS differences were observed with RNI.
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