WA/OR ACS Session II, Friday, June 14, 2019
IORT is contraindicated in invasive carcinoma with lobular features
IORT in this patient population has decreased survival compared to WBRT
No additional therapy is needed for positive lymph nodes when IORT is applied
Single dose IORT has a similar rate of recurrence compared with adjuvant WBRT
Is more likely to need additional surgery at 3 year follow up
Is not associated with increased additional imaging
Has higher rate of re-excision
Is more likely to need additional biopsy
12%
22%
32%
42%
Myocardial injury
Pneumonia
Venous thrombosis
Major bleeding
No intervention
PEG placement
Endoscopic cricopharyngeal myotomy
Open Zenker's diverticulectomy
Option 1
Option 2
Option 3
Option 4
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