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接受化疗的淋巴结阳性乳腺癌患者腋窝淋巴结清扫术与腋窝放疗的比较

2026年8月27日更新者：Alliance for Clinical Trials in Oncology

一项比较腋窝淋巴结清扫与腋窝放疗在新辅助化疗后前哨淋巴结病呈阳性的乳腺癌患者 (cT1-3 N1) 中的随机 III 期试验

这项随机 III 期试验研究了淋巴结清扫和放疗，以了解与单独放疗相比，它在治疗先前接受过化疗和手术治疗的乳腺癌患者方面的效果如何。淋巴结清扫术可以去除乳腺癌患者已经扩散到附近淋巴结的癌细胞。放射疗法使用高能 X 射线或质子来杀死肿瘤细胞。目前尚不清楚放疗是否单独或与淋巴结清扫术一起治疗先前接受过化疗和手术治疗的乳腺癌患者效果更好。

研究概览

地位

主动，不招人

条件

干预/治疗

详细说明

主要目标：

I. 评估未清扫腋窝和区域淋巴结放疗是否不亚于腋窝淋巴结清扫加区域淋巴结放疗而不是清扫腋窝浸润性乳腺癌无复发间隔新辅助化疗完成后的淋巴结 (SLN[s])。

次要目标：

I. 评估未清扫腋窝和区域淋巴结的放疗是否不亚于腋窝淋巴结清扫和区域淋巴结放疗，但在浸润性局部区域复发率方面不劣于腋窝淋巴结清扫术新辅助化疗完成后 SLN 阳性。

二。获得对残留疾病负担评分分布的估计。

三、估计总体生存的分布。

大纲：患者被随机分配到 2 个治疗组中的 1 个。

ARM I：患者接受腋窝淋巴结清扫术。手术后 3-12 周开始，患者接受淋巴结放射治疗，包括每周 5 天的 3 维 (3D) 适形放射治疗 (3D-CRT)、调强放射治疗 (IMRT) 或质子放射治疗 (PRT)，持续时间为5-6 周。

ARM II：患者接受腋窝和淋巴结放疗，包括 3D-CRT、IMRT 或 PRT，每周 5 天，持续 5-6 周。

完成研究治疗后，患者至少每 6 个月接受一次随访，持续 2 年，然后每年一次，持续 3 年。

研究类型

介入性

注册 (实际的)

2012

阶段

第三阶段

联系人和位置

本节提供了进行研究的人员的详细联系信息，以及有关进行该研究的地点的信息。

学习地点

加拿大
- Alberta
  - Edmonton、Alberta、加拿大、T6G 1Z2
    - Cross Cancer Institute
- Manitoba
  - Winnipeg、Manitoba、加拿大、R3E 0V9
    - CancerCare Manitoba
- New Brunswick
  - Saint John、New Brunswick、加拿大、E2L 4L2
    - Atlantic Health Sciences Corporation-Saint John Regional Hospital
- Ontario
  - Barrie、Ontario、加拿大、L4M 6M2
    - Royal Victoria Regional Health Centre
  - London、Ontario、加拿大、N6A 4L6
    - London Regional Cancer Program
  - Ottawa、Ontario、加拿大、K1H 8L6
    - Ottawa Hospital and Cancer Center-General Campus
  - Toronto、Ontario、加拿大、M5G 2M9
    - University Health Network-Princess Margaret Hospital
  - Toronto、Ontario、加拿大、M4N 3M5
    - Odette Cancer Centre- Sunnybrook Health Sciences Centre
  - Toronto、Ontario、加拿大、M2K 1E1
    - North York General Hospital
- Quebec
  - Montreal、Quebec、加拿大、H3T 1E2
    - Jewish General Hospital
  - Montreal、Quebec、加拿大、H3H 2R9
    - The Research Institute of the McGill University Health Centre (MUHC)
  - Montreal、Quebec、加拿大、H1T 2M4
    - CIUSSSEMTL-Hopital Maisonneuve-Rosemont
  - Québec、Quebec、加拿大、G1S 4L8
    - CHU de Quebec-Hopital du Saint-Sacrement (HSS)
- Saskatchewan
  - Regina、Saskatchewan、加拿大、S4T 7T1
    - Allan Blair Cancer Centre
波多黎各
- - Bayamón、波多黎各、00959-5060
    - Cancer Center-Metro Medical Center Bayamon
  - Manati、波多黎各、00674
    - Doctors Cancer Center
  - San Juan、波多黎各、00917
    - San Juan Community Oncology Group
  - San Juan、波多黎各、00936
    - San Juan City Hospital
美国
- Alabama
  - Daphne、Alabama、美国、36526
    - Southern Cancer Center PC-Daphne
  - Mobile、Alabama、美国、36688
    - University of South Alabama Mitchell Cancer Institute
  - Mobile、Alabama、美国、36607
    - Mobile Infirmary Medical Center
  - Mobile、Alabama、美国、36607
    - Southern Cancer Center PC-Mobile
  - Mobile、Alabama、美国、36608
    - Southern Cancer Center PC-Providence
  - Mobile、Alabama、美国、36608
    - Southern Cancer Center PC-Springhill
- Alaska
  - Anchorage、Alaska、美国、98508
    - Anchorage Associates in Radiation Medicine
  - Anchorage、Alaska、美国、99508
    - Alaska Breast Care and Surgery LLC
  - Anchorage、Alaska、美国、99508
    - Alaska Oncology and Hematology LLC
  - Anchorage、Alaska、美国、99508
    - Alaska Women's Cancer Care
  - Anchorage、Alaska、美国、99508
    - Anchorage Oncology Centre
  - Anchorage、Alaska、美国、99508
    - Katmai Oncology Group
  - Anchorage、Alaska、美国、99508
    - Providence Alaska Medical Center
  - Anchorage、Alaska、美国、99504
    - Anchorage Radiation Therapy Center
  - Anchorage、Alaska、美国、99508
    - Alaska Regional Hospital
  - Fairbanks、Alaska、美国、99701
    - Fairbanks Memorial Hospital
- Arizona
  - Gilbert、Arizona、美国、85297
    - Arizona Breast Cancer Specialists-Gilbert
  - Glendale、Arizona、美国、85306
    - Virginia G Piper Cancer Care-Glendale
  - Peoria、Arizona、美国、85381
    - Arizona Center for Cancer Care-Peoria
  - Phoenix、Arizona、美国、85004
    - Cancer Center at Saint Joseph's
  - Phoenix、Arizona、美国、85027
    - Arizona Breast Cancer Specialists-Phoenix
  - Scottsdale、Arizona、美国、85258
    - Arizona Breast Cancer Specialists-Scottsdale
  - Scottsdale、Arizona、美国、85251
    - Arizona Breast Cancer Specialists
  - Scottsdale、Arizona、美国、85258
    - Virginia G Piper Cancer Care-Del Camino
  - Surprise、Arizona、美国、85374
    - Arizona Center for Cancer Care-Surprise
  - Tucson、Arizona、美国、85719
    - Banner University Medical Center - Tucson
  - Tucson、Arizona、美国、85719
    - University of Arizona Cancer Center-North Campus
- Arkansas
  - Fort Smith、Arkansas、美国、72903
    - Mercy Hospital Fort Smith
  - Hot Springs、Arkansas、美国、71913
    - CHI Saint Vincent Cancer Center Hot Springs
  - Jonesboro、Arkansas、美国、72401
    - Baptist Memorial Hospital and Fowler Family Cancer Center - Jonesboro
  - Little Rock、Arkansas、美国、72205
    - University of Arkansas for Medical Sciences
- California
  - Antioch、California、美国、94531
    - Kaiser Permanente-Deer Valley Medical Center
  - Arroyo Grande、California、美国、93420
    - PCR Oncology
  - Auburn、California、美国、95602
    - Sutter Auburn Faith Hospital
  - Auburn、California、美国、95603
    - Sutter Cancer Centers Radiation Oncology Services-Auburn
  - Bakersfield、California、美国、93301
    - AIS Cancer Center at San Joaquin Community Hospital
  - Berkeley、California、美国、94704
    - Alta Bates Summit Medical Center-Herrick Campus
  - Burbank、California、美国、91505
    - Providence Saint Joseph Medical Center/Disney Family Cancer Center
  - Burlingame、California、美国、94010
    - Mills-Peninsula Medical Center
  - Cameron Park、California、美国、95682
    - Sutter Cancer Centers Radiation Oncology Services-Cameron Park
  - Castro Valley、California、美国、94546
    - Eden Hospital Medical Center
  - Castro Valley、California、美国、94546
    - East Bay Radiation Oncology Center
  - Clovis、California、美国、93611
    - Community Cancer Institute
  - Clovis、California、美国、93611
    - University Oncology Associates
  - Concord、California、美国、94520
    - John Muir Medical Center-Concord Campus
  - Corona、California、美国、92879
    - City of Hope Corona
  - Duarte、California、美国、91010
    - City of Hope Comprehensive Cancer Center
  - Dublin、California、美国、94568
    - Kaiser Permanente Dublin
  - Dublin、California、美国、94568
    - Epic Care-Dublin
  - Emeryville、California、美国、94608
    - Bay Area Breast Surgeons Inc
  - Emeryville、California、美国、94608
    - Epic Care Partners in Cancer Care
  - Fremont、California、美国、94538
    - Kaiser Permanente-Fremont
  - Fresno、California、美国、93720
    - Kaiser Permanente-Fresno
  - Fresno、California、美国、93720
    - Fresno Cancer Center
  - Fullerton、California、美国、92835
    - Saint Jude Medical Center
  - La Jolla、California、美国、92093
    - UC San Diego Moores Cancer Center
  - Loma Linda、California、美国、92354
    - Loma Linda University Medical Center
  - Los Angeles、California、美国、90033
    - USC / Norris Comprehensive Cancer Center
  - Los Angeles、California、美国、90033
    - Los Angeles County-USC Medical Center
  - Los Angeles、California、美国、90027
    - Kaiser Permanente Los Angeles Medical Center
  - Los Angeles、California、美国、90048
    - Cedars Sinai Medical Center
  - Martinez、California、美国、94553-3156
    - Contra Costa Regional Medical Center
  - Marysville、California、美国、95901
    - Fremont - Rideout Cancer Center
  - Modesto、California、美国、95355
    - Memorial Medical Center
  - Modesto、California、美国、95356
    - Kaiser Permanente-Modesto
  - Monterey、California、美国、93940
    - Community Hospital of Monterey Peninsula
  - Mountain View、California、美国、94040
    - El Camino Hospital
  - Mountain View、California、美国、94040
    - Palo Alto Medical Foundation-Camino Division
  - Novato、California、美国、94945
    - Sutter Cancer Research Consortium
  - Oakland、California、美国、94611
    - Kaiser Permanente-Oakland
  - Oakland、California、美国、94611
    - Kaiser Permanente Oakland-Broadway
  - Oakland、California、美国、94609
    - Alta Bates Summit Medical Center - Summit Campus
  - Oakland、California、美国、94609
    - Hematology and Oncology Associates-Oakland
  - Oakland、California、美国、94602
    - Highland General Hospital
  - Oakland、California、美国、94609
    - Bay Area Tumor Institute
  - Orange、California、美国、92868
    - Saint Joseph Hospital - Orange
  - Palm Springs、California、美国、92262
    - Desert Regional Medical Center
  - Palo Alto、California、美国、94304
    - Stanford Cancer Institute Palo Alto
  - Palo Alto、California、美国、94301
    - Palo Alto Medical Foundation Health Care
  - Pasadena、California、美国、91105
    - Huntington Memorial Hospital
  - Pleasanton、California、美国、94588
    - Valley Medical Oncology Consultants
  - Pomona、California、美国、91767
    - Pomona Valley Hospital Medical Center
  - Rancho Cordova、California、美国、95670
    - Kaiser Permanente-Rancho Cordova Cancer Center
  - Redwood City、California、美国、94063
    - Kaiser Permanente-Redwood City
  - Redwood City、California、美国、94063
    - Kaiser Permanente- Marshall Medical Offices
  - Richmond、California、美国、94801
    - Kaiser Permanente-Richmond
  - Rohnert Park、California、美国、94928
    - Rohnert Park Cancer Center
  - Roseville、California、美国、95678
    - The Permanente Medical Group-Roseville Radiation Oncology
  - Roseville、California、美国、95661
    - Kaiser Permanente-Roseville
  - Roseville、California、美国、95661
    - Sutter Cancer Centers Radiation Oncology Services-Roseville
  - Roseville、California、美国、95661
    - Sutter Roseville Medical Center
  - Sacramento、California、美国、95816
    - Sutter Medical Center Sacramento
  - Sacramento、California、美国、95817
    - University of California Davis Comprehensive Cancer Center
  - Sacramento、California、美国、95814
    - Kaiser Permanente Downtown Commons
  - Sacramento、California、美国、95823
    - Kaiser Permanente-South Sacramento
  - Sacramento、California、美国、95823
    - South Sacramento Cancer Center
  - Sacramento、California、美国、95825
    - Kaiser Permanente - Sacramento
  - Salinas、California、美国、93901
    - Salinas Valley Memorial
  - San Diego、California、美国、92134
    - Naval Medical Center -San Diego
  - San Diego、California、美国、92123
    - Sharp Memorial Hospital
  - San Francisco、California、美国、94115
    - Kaiser Permanente-San Francisco
  - San Francisco、California、美国、94115
    - California Pacific Medical Center-Pacific Campus
  - San Jose、California、美国、95119
    - Kaiser Permanente-Santa Teresa-San Jose
  - San Leandro、California、美国、94577
    - Kaiser Permanente San Leandro
  - San Luis Obispo、California、美国、93401
    - Pacific Central Coast Health Center-San Luis Obispo
  - San Mateo、California、美国、94401
    - Mills Health Center
  - San Pablo、California、美国、94806
    - Doctors Medical Center- JC Robinson Regional Cancer Center
  - San Rafael、California、美国、94903
    - Kaiser San Rafael-Gallinas
  - San Rafael、California、美国、94903
    - Kaiser Permanente-San Rafael
  - Santa Clara、California、美国、95051
    - Kaiser Permanente Medical Center - Santa Clara
  - Santa Cruz、California、美国、95065
    - Palo Alto Medical Foundation-Santa Cruz
  - Santa Cruz、California、美国、95065
    - Dominican Santa Cruz Hospital
  - Santa Maria、California、美国、93444
    - Mission Hope Medical Oncology - Santa Maria
  - Santa Rosa、California、美国、95403
    - Kaiser Permanente-Santa Rosa
  - Santa Rosa、California、美国、95403
    - Providence Medical Foundation - Santa Rosa
  - South Pasadena、California、美国、91030
    - City of Hope South Pasadena
  - South San Francisco、California、美国、94080
    - Kaiser Permanente Cancer Treatment Center
  - South San Francisco、California、美国、94080
    - Kaiser Permanente-South San Francisco
  - St. Helena、California、美国、94574
    - Saint Helena Hospital
  - Stockton、California、美国、95210
    - Kaiser Permanente-Stockton
  - Sunnyvale、California、美国、94086
    - Palo Alto Medical Foundation-Sunnyvale
  - Tarzana、California、美国、91356
    - Cedars-Sinai Cancer - Tarzana
  - Truckee、California、美国、96161
    - Gene Upshaw Memorial Tahoe Forest Cancer Center
  - Upland、California、美国、91786
    - City of Hope Upland
  - Vacaville、California、美国、95688
    - Kaiser Permanente Medical Center-Vacaville
  - Vacaville、California、美国、95687
    - Sutter Cancer Centers Radiation Oncology Services-Vacaville
  - Vallejo、California、美国、94589
    - Kaiser Permanente-Vallejo
  - Vallejo、California、美国、94589
    - Sutter Solano Medical Center/Cancer Center
  - Walnut Creek、California、美国、94596
    - Kaiser Permanente-Walnut Creek
  - Walnut Creek、California、美国、94598
    - John Muir Medical Center-Walnut Creek
  - Walnut Creek、California、美国、94597
    - Epic Care Cyberknife Center
  - Whittier、California、美国、90602
    - Presbyterian Intercommunity Hospital
- Colorado
  - Aurora、Colorado、美国、80045
    - University of Colorado Hospital
  - Aurora、Colorado、美国、80012
    - Rocky Mountain Cancer Centers-Aurora
  - Aurora、Colorado、美国、80012
    - The Medical Center of Aurora
  - Boulder、Colorado、美国、80301
    - Boulder Community Hospital
  - Boulder、Colorado、美国、80303
    - Boulder Community Foothills Hospital
  - Boulder、Colorado、美国、80304
    - Rocky Mountain Cancer Centers-Boulder
  - Colorado Springs、Colorado、美国、80907
    - Penrose-Saint Francis Healthcare
  - Colorado Springs、Colorado、美国、80909
    - UCHealth Memorial Hospital Central
  - Colorado Springs、Colorado、美国、80907
    - Rocky Mountain Cancer Centers-Penrose
  - Colorado Springs、Colorado、美国、80920
    - Memorial Hospital North
  - Colorado Springs、Colorado、美国、80923
    - Saint Francis Cancer Center
  - Denver、Colorado、美国、80210
    - Porter Adventist Hospital
  - Denver、Colorado、美国、80218
    - Presbyterian - Saint Lukes Medical Center - Health One
  - Denver、Colorado、美国、80218
    - SCL Health Saint Joseph Hospital
  - Denver、Colorado、美国、80220
    - Rose Medical Center
  - Denver、Colorado、美国、80218
    - Rocky Mountain Cancer Centers-Midtown
  - Denver、Colorado、美国、80220
    - Rocky Mountain Cancer Centers-Rose
  - Denver、Colorado、美国、80204
    - Denver Health Medical Center
  - Denver、Colorado、美国、80218
    - Colorado Blood Cancer Institute
  - Denver、Colorado、美国、80209
    - The Women's Imaging Center
  - Denver、Colorado、美国、80206
    - National Jewish Health-Main Campus
  - Durango、Colorado、美国、81301
    - Mercy Medical Center
  - Durango、Colorado、美国、81301
    - Southwest Oncology PC
  - Edwards、Colorado、美国、81632
    - Shaw Cancer Center
  - Englewood、Colorado、美国、80113
    - Mountain Blue Cancer Care Center - Swedish
  - Englewood、Colorado、美国、80113
    - Swedish Medical Center
  - Englewood、Colorado、美国、80113
    - The Melanoma and Skin Cancer Institute
  - Fort Collins、Colorado、美国、80524
    - Poudre Valley Hospital
  - Fort Collins、Colorado、美国、80528
    - Cancer Care and Hematology-Fort Collins
  - Golden、Colorado、美国、80401
    - Mountain Blue Cancer Care Center
  - Golden、Colorado、美国、80401
    - National Jewish Health-Western Hematology Oncology
  - Grand Junction、Colorado、美国、81501
    - Saint Mary's Hospital and Regional Medical Center
  - Grand Junction、Colorado、美国、81505
    - Grand Valley Oncology
  - Greeley、Colorado、美国、80631
    - North Colorado Medical Center
  - Greeley、Colorado、美国、80631
    - UCHealth Greeley Hospital
  - Greenwood Village、Colorado、美国、80111
    - Rocky Mountain Cancer Centers-Greenwood Village
  - Lakewood、Colorado、美国、80228
    - Saint Anthony Hospital
  - Lakewood、Colorado、美国、80228
    - Rocky Mountain Cancer Centers-Lakewood
  - Littleton、Colorado、美国、80120
    - Rocky Mountain Cancer Centers-Littleton
  - Littleton、Colorado、美国、80122
    - Littleton Adventist Hospital
  - Lone Tree、Colorado、美国、80124
    - Sky Ridge Medical Center
  - Lone Tree、Colorado、美国、80124
    - Rocky Mountain Cancer Centers-Sky Ridge
  - Longmont、Colorado、美国、80501
    - Longmont United Hospital
  - Longmont、Colorado、美国、80501
    - Rocky Mountain Cancer Centers-Longmont
  - Loveland、Colorado、美国、80539
    - McKee Medical Center
  - Loveland、Colorado、美国、80538
    - Medical Center of the Rockies
  - Parker、Colorado、美国、80138
    - Parker Adventist Hospital
  - Parker、Colorado、美国、80138
    - Rocky Mountain Cancer Centers-Parker
  - Pueblo、Colorado、美国、81004
    - Saint Mary Corwin Medical Center
  - Pueblo、Colorado、美国、81008
    - Rocky Mountain Cancer Centers - Pueblo
  - Thornton、Colorado、美国、80260
    - Rocky Mountain Cancer Centers-Thornton
  - Thornton、Colorado、美国、80260
    - National Jewish Health-Northern Hematology Oncology
  - Wheat Ridge、Colorado、美国、80033
    - SCL Health Lutheran Medical Center
- Connecticut
  - Fairfield、Connecticut、美国、06824
    - Smilow Cancer Hospital Care Center-Fairfield
  - Greenwich、Connecticut、美国、06830
    - Greenwich Hospital
  - Greenwich、Connecticut、美国、06830
    - Smilow Cancer Hospital Care Center at Greenwich
  - Guilford、Connecticut、美国、06437
    - Smilow Cancer Hospital Care Center - Guiford
  - Hartford、Connecticut、美国、06105
    - Smilow Cancer Hospital Care Center at Saint Francis
  - Hartford、Connecticut、美国、06102
    - Hartford Hospital
  - Middletown、Connecticut、美国、06457
    - Middlesex Hospital
  - New Britain、Connecticut、美国、06050
    - The Hospital of Central Connecticut
  - New Haven、Connecticut、美国、06520
    - Yale University
  - New Haven、Connecticut、美国、06510
    - Smilow Cancer Center/Yale-New Haven Hospital
  - North Haven、Connecticut、美国、06473
    - Yale-New Haven Hospital North Haven Medical Center
  - Norwalk、Connecticut、美国、06856
    - Norwalk Hospital
  - Stamford、Connecticut、美国、06904
    - Stamford Hospital/Bennett Cancer Center
  - Trumbull、Connecticut、美国、06611
    - Smilow Cancer Hospital Care Center-Trumbull
  - Waterford、Connecticut、美国、06385
    - Smilow Cancer Hospital Care Center - Waterford
- Delaware
  - Frankford、Delaware、美国、19945
    - Beebe South Coastal Health Campus
  - Lewes、Delaware、美国、19958
    - Beebe Medical Center
  - Newark、Delaware、美国、19713
    - Helen F Graham Cancer Center
  - Newark、Delaware、美国、19713
    - Delaware Clinical and Laboratory Physicians PA
  - Newark、Delaware、美国、19713
    - Medical Oncology Hematology Consultants PA
  - Newark、Delaware、美国、19718
    - Christiana Care Health System-Christiana Hospital
  - Newark、Delaware、美国、19713
    - Christiana Gynecologic Oncology LLC
  - Rehoboth Beach、Delaware、美国、19971
    - Beebe Health Campus
  - Seaford、Delaware、美国、19973
    - TidalHealth Nanticoke / Allen Cancer Center
  - Wilmington、Delaware、美国、19801
    - Christiana Care Health System-Wilmington Hospital
- District of Columbia
  - Washington D.C.、District of Columbia、美国、20010
    - MedStar Washington Hospital Center
  - Washington D.C.、District of Columbia、美国、20007
    - MedStar Georgetown University Hospital
  - Washington D.C.、District of Columbia、美国、20016
    - Sibley Memorial Hospital
- Florida
  - Altamonte Springs、Florida、美国、32701
    - AdventHealth Altamonte
  - Atlantis、Florida、美国、33462
    - John Fitzgerald Kennedy Medical Center
  - Aventura、Florida、美国、33180
    - Mount Sinai Comprehensive Cancer Center at Aventura
  - Clearwater、Florida、美国、33756
    - Morton Plant Hospital
  - Fort Lauderdale、Florida、美国、33308
    - Holy Cross Hospital
  - Gainesville、Florida、美国、32610
    - University of Florida Health Science Center - Gainesville
  - Hollywood、Florida、美国、33021
    - Memorial Regional Hospital/Joe DiMaggio Children's Hospital
  - Jacksonville、Florida、美国、32224-9980
    - Mayo Clinic in Florida
  - Jupiter、Florida、美国、33458
    - Jupiter Medical Center
  - Kissimmee、Florida、美国、34744
    - AdventHealth Kissimmee
  - Lakeland、Florida、美国、33805
    - Lakeland Regional Health Hollis Cancer Center
  - Miami Beach、Florida、美国、33140
    - Mount Sinai Medical Center
  - Orlando、Florida、美国、32806
    - Orlando Health Cancer Institute
  - Orlando、Florida、美国、32803
    - AdventHealth Orlando
  - Orlando、Florida、美国、32803
    - AdventHealth Medical Group Urology at Orlando
  - Orlando、Florida、美国、32822
    - AdventHealth East Orlando
  - Pembroke Pines、Florida、美国、33028
    - Memorial Hospital West
  - Stuart、Florida、美国、34994
    - Martin Medical Center
  - Stuart、Florida、美国、34994
    - Robert and Carol Weissman Cancer Center at Martin Health
  - Tampa、Florida、美国、33612
    - Moffitt Cancer Center
  - Tampa、Florida、美国、33607
    - Moffitt Cancer Center-International Plaza
  - Tampa、Florida、美国、33607
    - Saint Joseph's Hospital/Children's Hospital-Tampa
  - Tampa、Florida、美国、33612
    - Moffitt Cancer Center - McKinley Campus
  - Winter Park、Florida、美国、32792
    - AdventHealth Winter Park
- Georgia
  - Athens、Georgia、美国、30607
    - University Cancer and Blood Center LLC
  - Atlanta、Georgia、美国、30308
    - Emory University Hospital Midtown
  - Atlanta、Georgia、美国、30322
    - Emory University Hospital/Winship Cancer Institute
  - Atlanta、Georgia、美国、30342
    - Emory Saint Joseph's Hospital
  - Atlanta、Georgia、美国、30303
    - Grady Health System
  - Atlanta、Georgia、美国、30309
    - Piedmont Hospital
  - Augusta、Georgia、美国、30912
    - Augusta University Medical Center
  - Columbus、Georgia、美国、31904
    - John B Amos Cancer Center
  - Decatur、Georgia、美国、30033
    - Dekalb Medical Center
  - Fayetteville、Georgia、美国、30214
    - Piedmont Fayette Hospital
  - Gainesville、Georgia、美国、30501
    - Northeast Georgia Medical Center-Gainesville
  - Savannah、Georgia、美国、31405
    - Lewis Cancer and Research Pavilion at Saint Joseph's/Candler
  - Savannah、Georgia、美国、31404
    - Memorial Health University Medical Center
  - Savannah、Georgia、美国、31404
    - Summit Cancer Care-Memorial
  - Savannah、Georgia、美国、31404
    - Low Country Cancer Care
- Hawaii
  - Honolulu、Hawaii、美国、96813
    - Queen's Medical Center
  - Honolulu、Hawaii、美国、96817
    - The Cancer Center of Hawaii-Liliha
  - Honolulu、Hawaii、美国、96813
    - Hawaii Cancer Care Inc - Waterfront Plaza
  - Honolulu、Hawaii、美国、96813
    - Queen's Cancer Cenrer - POB I
  - Honolulu、Hawaii、美国、96813
    - Straub Clinic and Hospital
  - Honolulu、Hawaii、美国、96813
    - University of Hawaii Cancer Center
  - Honolulu、Hawaii、美国、96817
    - Hawaii Cancer Care Inc-Liliha
  - Honolulu、Hawaii、美国、96817
    - Kuakini Medical Center
  - Honolulu、Hawaii、美国、96817
    - Queen's Cancer Center - Kuakini
  - Honolulu、Hawaii、美国、96826
    - Kapiolani Medical Center for Women and Children
  - Honolulu、Hawaii、美国、96813
    - Island Urology
  - Honolulu、Hawaii、美国、96819
    - Kaiser Permanente Moanalua Medical Center
  - Kailua、Hawaii、美国、96734
    - Castle Medical Center
  - Lihue、Hawaii、美国、96766
    - Wilcox Memorial Hospital and Kauai Medical Clinic
  - ‘Aiea、Hawaii、美国、96701
    - Pali Momi Medical Center
  - ‘Aiea、Hawaii、美国、96701
    - Queen's Cancer Center - Pearlridge
  - ‘Aiea、Hawaii、美国、96701
    - The Cancer Center of Hawaii-Pali Momi
  - ‘Aiea、Hawaii、美国、96701
    - Hawaii Cancer Care - Savio
- Idaho
  - Boise、Idaho、美国、83706
    - Saint Alphonsus Cancer Care Center-Boise
  - Boise、Idaho、美国、83712
    - Saint Luke's Cancer Institute - Boise
  - Caldwell、Idaho、美国、83605
    - Saint Alphonsus Cancer Care Center-Caldwell
  - Coeur d'Alene、Idaho、美国、83814
    - Kootenai Health - Coeur d'Alene
  - Emmett、Idaho、美国、83617
    - Walter Knox Memorial Hospital
  - Fruitland、Idaho、美国、83619
    - Saint Luke's Cancer Institute - Fruitland
  - Lewiston、Idaho、美国、83501
    - Saint Joseph Regional Medical Center
  - Meridian、Idaho、美国、83642
    - Idaho Urologic Institute-Meridian
  - Meridian、Idaho、美国、83642
    - Saint Luke's Cancer Institute - Meridian
  - Nampa、Idaho、美国、83686
    - Saint Alphonsus Medical Center-Nampa
  - Nampa、Idaho、美国、83686
    - Saint Luke's Cancer Institute - Nampa
  - Post Falls、Idaho、美国、83854
    - Kootenai Clinic Cancer Services - Post Falls
  - Sandpoint、Idaho、美国、83864
    - Kootenai Cancer Clinic
  - Twin Falls、Idaho、美国、83301
    - Saint Luke's Cancer Institute - Twin Falls
- Illinois
  - Aurora、Illinois、美国、60504
    - Rush - Copley Medical Center
  - Bloomington、Illinois、美国、61704
    - Illinois CancerCare-Bloomington
  - Bloomington、Illinois、美国、61701
    - Saint Joseph Medical Center
  - Canton、Illinois、美国、61520
    - Illinois CancerCare-Canton
  - Carbondale、Illinois、美国、62902
    - Memorial Hospital of Carbondale
  - Carterville、Illinois、美国、62918
    - SIH Cancer Institute
  - Carthage、Illinois、美国、62321
    - Illinois CancerCare-Carthage
  - Centralia、Illinois、美国、62801
    - Centralia Oncology Clinic
  - Chicago、Illinois、美国、60612
    - Rush University Medical Center
  - Chicago、Illinois、美国、60637
    - University of Chicago Comprehensive Cancer Center
  - Chicago、Illinois、美国、60612
    - John H Stroger Jr Hospital of Cook County
  - Chicago、Illinois、美国、60608
    - Mount Sinai Hospital Medical Center
  - Chicago、Illinois、美国、60625
    - Swedish Covenant Hospital
  - Chicago、Illinois、美国、60657
    - Advocate Illinois Masonic Medical Center
  - Danville、Illinois、美国、61832
    - Carle on Vermilion
  - DeKalb、Illinois、美国、60115
    - Northwestern Medicine Cancer Center Kishwaukee
  - Decatur、Illinois、美国、62526
    - Decatur Memorial Hospital
  - Decatur、Illinois、美国、62526
    - Cancer Care Specialists of Illinois - Decatur
  - Effingham、Illinois、美国、62401
    - Crossroads Cancer Center
  - Effingham、Illinois、美国、62401
    - Carle Physician Group-Effingham
  - Elmhurst、Illinois、美国、60126
    - Elmhurst Memorial Hospital
  - Eureka、Illinois、美国、61530
    - Illinois CancerCare-Eureka
  - Evanston、Illinois、美国、60201
    - NorthShore University HealthSystem-Evanston Hospital
  - Evanston、Illinois、美国、60202
    - Saint Francis Hospital
  - Galesburg、Illinois、美国、61401
    - Western Illinois Cancer Treatment Center
  - Galesburg、Illinois、美国、61401
    - Illinois CancerCare-Galesburg
  - Geneva、Illinois、美国、60134
    - Northwestern Medicine Cancer Center Delnor
  - Glenview、Illinois、美国、60026
    - NorthShore University HealthSystem-Glenbrook Hospital
  - Harvey、Illinois、美国、60426
    - Ingalls Memorial Hospital
  - Hazel Crest、Illinois、美国、60429
    - Advocate South Suburban Hospital
  - Highland Park、Illinois、美国、60035
    - NorthShore University HealthSystem-Highland Park Hospital
  - Kankakee、Illinois、美国、60901
    - Presence Saint Mary's Hospital
  - Kewanee、Illinois、美国、61443
    - Illinois CancerCare-Kewanee Clinic
  - Libertyville、Illinois、美国、60048
    - Condell Memorial Hospital
  - Macomb、Illinois、美国、61455
    - Illinois CancerCare-Macomb
  - Mattoon、Illinois、美国、61938
    - Carle Physician Group-Mattoon/Charleston
  - Mount Vernon、Illinois、美国、62864
    - Good Samaritan Regional Health Center
  - Naperville、Illinois、美国、60540
    - Edward Hospital/Cancer Center
  - New Lenox、Illinois、美国、60451
    - UC Comprehensive Cancer Center at Silver Cross
  - O'Fallon、Illinois、美国、62269
    - Cancer Care Center of O'Fallon
  - Oak Lawn、Illinois、美国、60453-2699
    - Advocate Christ Medical Center
  - Orland Park、Illinois、美国、60462
    - University of Chicago Medicine-Orland Park
  - Ottawa、Illinois、美国、61350
    - Illinois CancerCare-Ottawa Clinic
  - Ottawa、Illinois、美国、61350
    - Radiation Oncology of Northern Illinois
  - Park Ridge、Illinois、美国、60068
    - Advocate Lutheran General Hospital
  - Pekin、Illinois、美国、61554
    - Illinois CancerCare-Pekin
  - Pekin、Illinois、美国、61554
    - OSF Saint Francis Radiation Oncology at Pekin Cancer Treatment Center
  - Peoria、Illinois、美国、61636
    - Methodist Medical Center of Illinois
  - Peoria、Illinois、美国、61637
    - OSF Saint Francis Medical Center
  - Peoria、Illinois、美国、61615
    - Illinois CancerCare-Peoria
  - Peoria、Illinois、美国、61615
    - OSF Saint Francis Radiation Oncology at Peoria Cancer Center
  - Peru、Illinois、美国、61354
    - Illinois CancerCare-Peru
  - Peru、Illinois、美国、61354
    - Valley Radiation Oncology
  - Plainfield、Illinois、美国、60585
    - Edward Hospital/Cancer Center?Plainfield
  - Princeton、Illinois、美国、61356
    - Illinois CancerCare-Princeton
  - Rockford、Illinois、美国、61114
    - SwedishAmerican Regional Cancer Center/ACT
  - Springfield、Illinois、美国、62781
    - Memorial Medical Center
  - Springfield、Illinois、美国、62702
    - Southern Illinois University School of Medicine
  - Springfield、Illinois、美国、62702
    - Springfield Clinic
  - Springfield、Illinois、美国、62702
    - Central Illinois Hematology Oncology Center
  - Swansea、Illinois、美国、62226
    - Southwest Illinois Health Services LLP
  - Urbana、Illinois、美国、61801
    - Carle Cancer Center
  - Urbana、Illinois、美国、61801
    - The Carle Foundation Hospital
  - Warrenville、Illinois、美国、60555
    - Northwestern Medicine Cancer Center Warrenville
  - Washington、Illinois、美国、61571
    - Illinois CancerCare - Washington
  - Yorkville、Illinois、美国、60560
    - Rush-Copley Healthcare Center
- Indiana
  - Anderson、Indiana、美国、46016
    - Saint Vincent Anderson Regional Hospital/Cancer Center
  - Avon、Indiana、美国、46123
    - IU Health West Hospital
  - Carmel、Indiana、美国、46032
    - IU Health North Hospital
  - Elkhart、Indiana、美国、46515
    - Elkhart General Hospital
  - Elkhart、Indiana、美国、46514
    - Michiana Hematology Oncology PC-Elkhart
  - Elkhart、Indiana、美国、46514-2098
    - Elkhart Clinic
  - Fort Wayne、Indiana、美国、46805
    - Parkview Hospital Randallia
  - Fort Wayne、Indiana、美国、46845
    - Parkview Regional Medical Center
  - Fort Wayne、Indiana、美国、46804
    - Radiation Oncology Associates PC
  - Goshen、Indiana、美国、46526
    - Goshen Center for Cancer Care
  - Indianapolis、Indiana、美国、46237
    - Franciscan Health Indianapolis
  - Indianapolis、Indiana、美国、46202
    - Indiana University/Melvin and Bren Simon Cancer Center
  - Indianapolis、Indiana、美国、46219
    - Community Cancer Center East
  - Indianapolis、Indiana、美国、46227
    - Community Cancer Center South
  - Indianapolis、Indiana、美国、46256
    - Community Cancer Center North
  - Indianapolis、Indiana、美国、46202
    - Sidney and Lois Eskenazi Hospital
  - Indianapolis、Indiana、美国、46260
    - Saint Vincent Hospital and Health Care Center
  - Indianapolis、Indiana、美国、46202
    - IU Health Methodist Hospital
  - Kokomo、Indiana、美国、46904
    - Community Howard Regional Health
  - La Porte、Indiana、美国、46350
    - IU Health La Porte Hospital
  - Lafayette、Indiana、美国、47905
    - Franciscan Saint Elizabeth Health - Lafayette East
  - Michigan City、Indiana、美国、46360
    - Franciscan Saint Anthony Health-Michigan City
  - Michigan City、Indiana、美国、46360
    - Woodland Cancer Care Center
  - Mishawaka、Indiana、美国、46545
    - Memorial Regional Cancer Center Day Road
  - Mishawaka、Indiana、美国、46545
    - Michiana Hematology Oncology PC-Mishawaka
  - Mishawaka、Indiana、美国、46545
    - Saint Joseph Regional Medical Center-Mishawaka
  - Newburgh、Indiana、美国、47630
    - Chancellor Center for Oncology
  - Plymouth、Indiana、美国、46563
    - Michiana Hematology Oncology PC-Plymouth
  - Richmond、Indiana、美国、47374
    - Reid Health
  - South Bend、Indiana、美国、46601
    - Memorial Hospital of South Bend
  - South Bend、Indiana、美国、46601
    - Michiana Hematology Oncology PC-South Bend
  - South Bend、Indiana、美国、46617
    - South Bend Clinic
  - Westville、Indiana、美国、46391
    - Michiana Hematology Oncology PC-Westville
- Iowa
  - Carroll、Iowa、美国、51401
    - Saint Anthony Regional Hospital
  - Cedar Rapids、Iowa、美国、52403
    - Mercy Hospital
  - Cedar Rapids、Iowa、美国、52403
    - Oncology Associates at Mercy Medical Center
  - Cedar Rapids、Iowa、美国、52402
    - Physicians' Clinic of Iowa PC
  - Clive、Iowa、美国、50325
    - Mercy Cancer Center-West Lakes
  - Clive、Iowa、美国、50325
    - Medical Oncology and Hematology Associates-West Des Moines
  - Creston、Iowa、美国、50801
    - Greater Regional Medical Center
  - Des Moines、Iowa、美国、50309
    - Iowa Methodist Medical Center
  - Des Moines、Iowa、美国、50314
    - Mercy Medical Center - Des Moines
  - Des Moines、Iowa、美国、50309
    - Medical Oncology and Hematology Associates-Des Moines
  - Des Moines、Iowa、美国、50314
    - Broadlawns Medical Center
  - Des Moines、Iowa、美国、50316
    - Iowa Lutheran Hospital
  - Des Moines、Iowa、美国、50314
    - Medical Oncology and Hematology Associates-Laurel
  - Iowa City、Iowa、美国、52242
    - University of Iowa/Holden Comprehensive Cancer Center
  - Sioux City、Iowa、美国、51101
    - Siouxland Regional Cancer Center
  - Sioux City、Iowa、美国、51102
    - Mercy Medical Center-Sioux City
  - Sioux City、Iowa、美国、51104
    - Saint Luke's Regional Medical Center
  - West Des Moines、Iowa、美国、50266-7700
    - Methodist West Hospital
  - West Des Moines、Iowa、美国、50266
    - Mercy Medical Center-West Lakes
- Kansas
  - Chanute、Kansas、美国、66720
    - Cancer Center of Kansas - Chanute
  - Dodge City、Kansas、美国、67801
    - Cancer Center of Kansas - Dodge City
  - El Dorado、Kansas、美国、67042
    - Cancer Center of Kansas - El Dorado
  - Emporia、Kansas、美国、66801
    - Newman Regional Health
  - Fort Scott、Kansas、美国、66701
    - Cancer Center of Kansas - Fort Scott
  - Garden City、Kansas、美国、67846
    - Central Care Cancer Center - Garden City
  - Garden City、Kansas、美国、67846
    - Saint Catherine Hospital
  - Great Bend、Kansas、美国、67530
    - Central Care Cancer Center - Great Bend
  - Great Bend、Kansas、美国、67530
    - Saint Rose Ambulatory and Surgery Center
  - Hays、Kansas、美国、67601
    - HaysMed University of Kansas Health System
  - Independence、Kansas、美国、67301
    - Cancer Center of Kansas-Independence
  - Kansas City、Kansas、美国、66160
    - University of Kansas Cancer Center
  - Kingman、Kansas、美国、67068
    - Cancer Center of Kansas-Kingman
  - Lawrence、Kansas、美国、66044
    - Lawrence Memorial Hospital
  - Lenexa、Kansas、美国、66219
    - Kansas Institute of Medicine Cancer and Blood Center
  - Lenexa、Kansas、美国、66219
    - Minimally Invasive Surgery Hospital
  - Liberal、Kansas、美国、67905
    - Cancer Center of Kansas-Liberal
  - Manhattan、Kansas、美国、66502
    - Cancer Center of Kansas-Manhattan
  - McPherson、Kansas、美国、67460
    - Cancer Center of Kansas - McPherson
  - Newton、Kansas、美国、67114
    - Cancer Center of Kansas - Newton
  - Olathe、Kansas、美国、66061
    - Olathe Health Cancer Center
  - Overland Park、Kansas、美国、66210
    - University of Kansas Cancer Center-Overland Park
  - Overland Park、Kansas、美国、66209
    - Menorah Medical Center
  - Overland Park、Kansas、美国、66213
    - Saint Luke's South Hospital
  - Overland Park、Kansas、美国、66211
    - University of Kansas Hospital-Indian Creek Campus
  - Parsons、Kansas、美国、67357
    - Cancer Center of Kansas - Parsons
  - Pittsburg、Kansas、美国、66762
    - Ascension Via Christi - Pittsburg
  - Pratt、Kansas、美国、67124
    - Cancer Center of Kansas - Pratt
  - Salina、Kansas、美国、67401
    - Salina Regional Health Center
  - Salina、Kansas、美国、67401
    - Cancer Center of Kansas - Salina
  - Topeka、Kansas、美国、66606
    - University of Kansas Health System Saint Francis Campus
  - Topeka、Kansas、美国、66606
    - Cotton O'Neil Cancer Center / Stormont Vail Health
  - Wellington、Kansas、美国、67152
    - Cancer Center of Kansas - Wellington
  - Westwood、Kansas、美国、66205
    - University of Kansas Hospital-Westwood Cancer Center
  - Wichita、Kansas、美国、67214
    - Ascension Via Christi Hospitals Wichita
  - Wichita、Kansas、美国、67208
    - Cancer Center of Kansas-Wichita Medical Arts Tower
  - Wichita、Kansas、美国、67214
    - Cancer Center of Kansas - Wichita
  - Wichita、Kansas、美国、67208
    - Associates In Womens Health
  - Wichita、Kansas、美国、67214
    - Wesley Medical Center
  - Winfield、Kansas、美国、67156
    - Cancer Center of Kansas - Winfield
- Kentucky
  - Crestview Hills、Kentucky、美国、41017
    - Oncology Hematology Care Inc-Crestview
  - Edgewood、Kentucky、美国、41017
    - Saint Elizabeth Medical Center South
  - Fort Thomas、Kentucky、美国、41075
    - Saint Elizabeth Fort Thomas
  - Lexington、Kentucky、美国、40536
    - University of Kentucky/Markey Cancer Center
  - Lexington、Kentucky、美国、40504
    - Saint Joseph Radiation Oncology Resource Center
  - Lexington、Kentucky、美国、40509
    - Saint Joseph Hospital East
  - Louisville、Kentucky、美国、40202
    - Norton Hospital Pavilion and Medical Campus
  - Louisville、Kentucky、美国、40202
    - The James Graham Brown Cancer Center at University of Louisville
  - Louisville、Kentucky、美国、40202
    - Jewish Hospital
  - Louisville、Kentucky、美国、40207
    - Norton Suburban Hospital and Medical Campus
  - Louisville、Kentucky、美国、40245
    - UofL Health Medical Center Northeast
  - Owensboro、Kentucky、美国、42303
    - Owensboro Health Mitchell Memorial Cancer Center
- Louisiana
  - Baton Rouge、Louisiana、美国、70809
    - Mary Bird Perkins Cancer Center
  - Baton Rouge、Louisiana、美国、70809
    - Ochsner Health Center-Summa
  - Baton Rouge、Louisiana、美国、70816
    - Medical Center of Baton Rouge
  - Baton Rouge、Louisiana、美国、70836
    - Ochsner High Grove
  - Baton Rouge、Louisiana、美国、70806
    - Baton Rouge General Medical Center
  - Baton Rouge、Louisiana、美国、70809
    - Hematology/Oncology Clinic PLLC
  - Baton Rouge、Louisiana、美国、70817
    - Woman's Hospital
  - Kenner、Louisiana、美国、70065
    - Ochsner Medical Center Kenner
  - New Orleans、Louisiana、美国、70121
    - Ochsner Medical Center Jefferson
  - New Orleans、Louisiana、美国、70112
    - Tulane University Health Sciences Center
  - New Orleans、Louisiana、美国、70112
    - University Medical Center New Orleans
  - New Orleans、Louisiana、美国、70112
    - Louisiana State University Health Science Center
  - New Orleans、Louisiana、美国、70115
    - Ochsner Baptist Medical Center
  - Shreveport、Louisiana、美国、71103
    - LSU Health Sciences Center at Shreveport
- Maine
  - Augusta、Maine、美国、04330
    - Harold Alfond Center for Cancer Care
  - Bangor、Maine、美国、04401
    - Eastern Maine Medical Center
  - Brewer、Maine、美国、04412
    - Lafayette Family Cancer Center-EMMC
  - Lewiston、Maine、美国、04240
    - Central Maine Medical Center
  - Rockport、Maine、美国、04856
    - Penobscot Bay Medical Center
- Maryland
  - Annapolis、Maryland、美国、21401
    - Anne Arundel Medical Center
  - Baltimore、Maryland、美国、21237
    - MedStar Franklin Square Medical Center/Weinberg Cancer Institute
  - Baltimore、Maryland、美国、21287
    - Johns Hopkins University/Sidney Kimmel Cancer Center
  - Baltimore、Maryland、美国、21215
    - Sinai Hospital of Baltimore
  - Baltimore、Maryland、美国、21204
    - Greater Baltimore Medical Center
  - Baltimore、Maryland、美国、21201
    - University of Maryland/Greenebaum Cancer Center
  - Baltimore、Maryland、美国、21218
    - MedStar Union Memorial Hospital
  - Baltimore、Maryland、美国、21229
    - Saint Agnes Hospital
  - Baltimore、Maryland、美国、21239
    - MedStar Good Samaritan Hospital
  - Bel Air、Maryland、美国、21014
    - UM Upper Chesapeake Medical Center
  - Bethesda、Maryland、美国、20814
    - Suburban Hospital
  - Columbia、Maryland、美国、21044
    - Central Maryland Radiation Oncology in Howard County
  - Glen Burnie、Maryland、美国、21061
    - UM Baltimore Washington Medical Center/Tate Cancer Center
  - Randallstown、Maryland、美国、21133
    - Northwest Hospital Center
  - Silver Spring、Maryland、美国、20910
    - Holy Cross Hospital
  - Towson、Maryland、美国、21204
    - UM Saint Joseph Medical Center
  - Westminster、Maryland、美国、21157
    - William E Kahlert Regional Cancer Center/Sinai Hospital
- Massachusetts
  - Boston、Massachusetts、美国、02215
    - Dana-Farber Cancer Institute
  - Boston、Massachusetts、美国、02115
    - Brigham and Women's Hospital
  - Boston、Massachusetts、美国、02118
    - Boston Medical Center
  - Burlington、Massachusetts、美国、01805
    - Lahey Hospital and Medical Center
  - Fitchburg、Massachusetts、美国、01420
    - Simonds-Sinon Regional Cancer Center
  - Peabody、Massachusetts、美国、01960
    - Lahey Medical Center-Peabody
  - South Weymouth、Massachusetts、美国、02190
    - Dana-Farber/Brigham and Women's Cancer Center at South Shore
  - Springfield、Massachusetts、美国、01199
    - Baystate Medical Center
  - Worcester、Massachusetts、美国、01655
    - UMass Memorial Medical Center - University Campus
- Michigan
  - Adrian、Michigan、美国、49221
    - Bixby Medical Center
  - Adrian、Michigan、美国、49221
    - Hickman Cancer Center
  - Ann Arbor、Michigan、美国、48106
    - Saint Joseph Mercy Hospital
  - Battle Creek、Michigan、美国、49017
    - Bronson Battle Creek
  - Bay City、Michigan、美国、48706
    - McLaren Cancer Institute-Bay City
  - Brighton、Michigan、美国、48114
    - Saint Joseph Mercy Brighton
  - Brighton、Michigan、美国、48114
    - IHA Hematology Oncology Consultants-Brighton
  - Brownstown、Michigan、美国、48183
    - Henry Ford Cancer Institute-Downriver
  - Canton、Michigan、美国、48188
    - Saint Joseph Mercy Canton
  - Canton、Michigan、美国、48188
    - IHA Hematology Oncology Consultants-Canton
  - Caro、Michigan、美国、48723
    - Caro Cancer Center
  - Chelsea、Michigan、美国、48118
    - Saint Joseph Mercy Chelsea
  - Chelsea、Michigan、美国、48118
    - IHA Hematology Oncology Consultants-Chelsea
  - Clarkston、Michigan、美国、48346
    - Hematology Oncology Consultants-Clarkston
  - Clarkston、Michigan、美国、48346
    - Newland Medical Associates-Clarkston
  - Clinton Township、Michigan、美国、48038
    - Henry Ford Macomb Hospital-Clinton Township
  - Dearborn、Michigan、美国、48124
    - Beaumont Hospital - Dearborn
  - Detroit、Michigan、美国、48202
    - Henry Ford Hospital
  - Detroit、Michigan、美国、48201
    - Wayne State University/Karmanos Cancer Institute
  - Detroit、Michigan、美国、48236
    - Ascension Saint John Hospital
  - East China、Michigan、美国、48054
    - Great Lakes Cancer Management Specialists-Doctors Park
  - Farmington Hills、Michigan、美国、48334
    - Weisberg Cancer Treatment Center
  - Farmington Hills、Michigan、美国、48336
    - Beaumont Hospital - Farmington Hills
  - Flint、Michigan、美国、48532
    - McLaren Cancer Institute-Flint
  - Flint、Michigan、美国、48503
    - Hurley Medical Center
  - Flint、Michigan、美国、48503
    - Genesee Cancer and Blood Disease Treatment Center
  - Flint、Michigan、美国、48503
    - Genesee Hematology Oncology PC
  - Flint、Michigan、美国、48503
    - Genesys Hurley Cancer Institute
  - Grand Rapids、Michigan、美国、49503
    - Spectrum Health at Butterworth Campus
  - Grand Rapids、Michigan、美国、49503
    - Helen DeVos Children's Hospital at Spectrum Health
  - Grand Rapids、Michigan、美国、49503
    - Mercy Health Saint Mary's
  - Grosse Pointe Woods、Michigan、美国、48236
    - Academic Hematology Oncology Specialists
  - Grosse Pointe Woods、Michigan、美国、48236
    - Great Lakes Cancer Management Specialists-Van Elslander Cancer Center
  - Grosse Pointe Woods、Michigan、美国、48236
    - Michigan Breast Specialists-Grosse Pointe Woods
  - Jackson、Michigan、美国、49201
    - Allegiance Health
  - Kalamazoo、Michigan、美国、49007
    - West Michigan Cancer Center
  - Kalamazoo、Michigan、美国、49007
    - Bronson Methodist Hospital
  - Kalamazoo、Michigan、美国、49048
    - Borgess Medical Center
  - Lansing、Michigan、美国、48912
    - Sparrow Hospital
  - Livonia、Michigan、美国、48154
    - Saint Mary Mercy Hospital
  - Livonia、Michigan、美国、48154
    - Hope Cancer Clinic
  - Macomb、Michigan、美国、48044
    - Great Lakes Cancer Management Specialists-Macomb Medical Campus
  - Macomb、Michigan、美国、48044
    - Michigan Breast Specialists-Macomb Township
  - Marlette、Michigan、美国、48453
    - Saint Mary's Oncology/Hematology Associates of Marlette
  - Midland、Michigan、美国、48670
    - Mid-Michigan Medical Center - Midland
  - Monroe、Michigan、美国、48162
    - Mercy Memorial Hospital
  - Monroe、Michigan、美国、48162
    - Toledo Clinic Cancer Centers-Monroe
  - Mount Pleasant、Michigan、美国、48858
    - McLaren Cancer Institute-Central Michigan
  - Muskegon、Michigan、美国、49444
    - Mercy Health Mercy Campus
  - Niles、Michigan、美国、49120
    - Lakeland Hospital Niles
  - Norton Shores、Michigan、美国、49444
    - Cancer and Hematology Centers of Western Michigan - Norton Shores
  - Novi、Michigan、美国、48374
    - Ascension Providence Hospitals - Novi
  - Pontiac、Michigan、美国、48341
    - Saint Joseph Mercy Oakland
  - Pontiac、Michigan、美国、48341
    - 21st Century Oncology-Pontiac
  - Pontiac、Michigan、美国、48341
    - Hope Cancer Center
  - Pontiac、Michigan、美国、48341
    - Newland Medical Associates-Pontiac
  - Port Huron、Michigan、美国、48060
    - Lake Huron Medical Center
  - Reed City、Michigan、美国、49677
    - Spectrum Health Reed City Hospital
  - Rochester Hills、Michigan、美国、48309
    - Great Lakes Cancer Management Specialists-Rochester Hills
  - Roseville、Michigan、美国、48066
    - Michigan Cancer Specialists
  - Royal Oak、Michigan、美国、48073
    - William Beaumont Hospital-Royal Oak
  - Royal Oak、Michigan、美国、48073
    - Cancer Care Associates PC
  - Royal Oak、Michigan、美国、48073
    - Comprehensive Medical Center PLLC
  - Royal Oak、Michigan、美国、48073
    - Hematology Oncology Consultants PC
  - Royal Oak、Michigan、美国、48073
    - Oakland Medical Group
  - Royal Oak、Michigan、美国、48067
    - Oakland Colon Rectal Associates
  - Saginaw、Michigan、美国、48601
    - Ascension Saint Mary's Hospital
  - Saginaw、Michigan、美国、48604
    - Oncology Hematology Associates of Saginaw Valley PC
  - Saint Joseph、Michigan、美国、49085
    - Lakeland Medical Center Saint Joseph
  - Saint Joseph、Michigan、美国、49085
    - Marie Yeager Cancer Center
  - Southfield、Michigan、美国、48075
    - Ascension Providence Hospitals - Southfield
  - Sterling Heights、Michigan、美国、48312
    - Bhadresh Nayak MD PC-Sterling Heights
  - Sterling Heights、Michigan、美国、48312
    - Premier Hematology Oncology Care
  - Sterling Heights、Michigan、美国、48314
    - Mitchell Folbe MD PC
  - Tawas City、Michigan、美国、48764
    - Ascension Saint Joseph Hospital
  - Traverse City、Michigan、美国、49684
    - Munson Medical Center
  - Troy、Michigan、美国、48085
    - William Beaumont Hospital - Troy
  - Troy、Michigan、美国、48084
    - Michigan Institute of Urology-Town Center
  - Troy、Michigan、美国、48085
    - Claudia BR Herke MD PC
  - Troy、Michigan、美国、48098
    - Hematology Oncology Consultants PC-Troy
  - Warren、Michigan、美国、48093
    - Saint John Macomb-Oakland Hospital
  - Warren、Michigan、美国、48088
    - Advanced Breast Care Center PLLC
  - Warren、Michigan、美国、48093
    - Great Lakes Cancer Management Specialists-Macomb Professional Building
  - Warren、Michigan、美国、48093
    - Macomb Hematology Oncology PC
  - Warren、Michigan、美国、48093
    - Michigan Breast Specialists-Warren
  - West Bloomfield、Michigan、美国、48322
    - Henry Ford West Bloomfield Hospital
  - West Branch、Michigan、美国、48661
    - Saint Mary's Oncology/Hematology Associates of West Branch
  - Wyandotte、Michigan、美国、48192
    - Henry Ford Wyandotte Hospital
  - Wyoming、Michigan、美国、49519
    - Metro Health Hospital
  - Ypsilanti、Michigan、美国、48106
    - Huron Gastroenterology PC
  - Ypsilanti、Michigan、美国、48197
    - IHA Hematology Oncology Consultants-Ann Arbor
- Minnesota
  - Albert Lea、Minnesota、美国、56007
    - Mayo Clinic Health System in Albert Lea
  - Bemidji、Minnesota、美国、56601
    - Sanford Joe Lueken Cancer Center
  - Burnsville、Minnesota、美国、55337
    - Fairview Ridges Hospital
  - Burnsville、Minnesota、美国、55337
    - Minnesota Oncology - Burnsville
  - Coon Rapids、Minnesota、美国、55433
    - Mercy Hospital
  - Duluth、Minnesota、美国、55805
    - Saint Luke's Hospital of Duluth
  - Edina、Minnesota、美国、55435
    - Fairview Southdale Hospital
  - Fridley、Minnesota、美国、55432
    - Unity Hospital
  - Hutchinson、Minnesota、美国、55350
    - Hutchinson Area Health Care
  - Mankato、Minnesota、美国、56001
    - Mayo Clinic Health Systems-Mankato
  - Maple Grove、Minnesota、美国、55369
    - Fairview Clinics and Surgery Center Maple Grove
  - Maplewood、Minnesota、美国、55109
    - Saint John's Hospital - Healtheast
  - Maplewood、Minnesota、美国、55109
    - Minnesota Oncology Hematology PA-Maplewood
  - Minneapolis、Minnesota、美国、55415
    - Hennepin County Medical Center
  - Minneapolis、Minnesota、美国、55407
    - Abbott-Northwestern Hospital
  - Minneapolis、Minnesota、美国、55454
    - Health Partners Inc
  - Monticello、Minnesota、美国、55362
    - Monticello Cancer Center
  - New Ulm、Minnesota、美国、56073
    - New Ulm Medical Center
  - Northfield、Minnesota、美国、55057
    - Mayo Clinic Radiation Therapy-Northfield
  - Robbinsdale、Minnesota、美国、55422
    - North Memorial Medical Health Center
  - Rochester、Minnesota、美国、55905
    - Mayo Clinic in Rochester
  - Saint Cloud、Minnesota、美国、56303
    - Coborn Cancer Center at Saint Cloud Hospital
  - Saint Cloud、Minnesota、美国、56303
    - Saint Cloud Hospital
  - Saint Louis Park、Minnesota、美国、55416
    - Park Nicollet Clinic - Saint Louis Park
  - Saint Paul、Minnesota、美国、55101
    - Regions Hospital
  - Saint Paul、Minnesota、美国、55102
    - United Hospital
  - Shakopee、Minnesota、美国、55379
    - Saint Francis Regional Medical Center
  - Stillwater、Minnesota、美国、55082
    - Lakeview Hospital
  - Waconia、Minnesota、美国、55387
    - Ridgeview Medical Center
  - Willmar、Minnesota、美国、56201
    - Rice Memorial Hospital
  - Woodbury、Minnesota、美国、55125
    - Minnesota Oncology Hematology PA-Woodbury
  - Wyoming、Minnesota、美国、55092
    - Fairview Lakes Medical Center
- Mississippi
  - Columbus、Mississippi、美国、39705
    - Baptist Memorial Hospital and Cancer Center-Golden Triangle
  - Grenada、Mississippi、美国、38901
    - Baptist Cancer Center-Grenada
  - Jackson、Mississippi、美国、39216
    - University of Mississippi Medical Center
  - New Albany、Mississippi、美国、38652
    - Baptist Memorial Hospital and Cancer Center-Union County
  - Oxford、Mississippi、美国、38655
    - Baptist Memorial Hospital and Cancer Center-Oxford
  - Southhaven、Mississippi、美国、38671
    - Baptist Memorial Hospital and Cancer Center-Desoto
- Missouri
  - Ballwin、Missouri、美国、63011
    - Saint Louis Cancer and Breast Institute-Ballwin
  - Bolivar、Missouri、美国、65613
    - Central Care Cancer Center - Bolivar
  - Bonne Terre、Missouri、美国、63628
    - Parkland Health Center-Bonne Terre
  - Branson、Missouri、美国、65616
    - Cox Cancer Center Branson
  - Cape Girardeau、Missouri、美国、63703
    - Saint Francis Medical Center
  - Cape Girardeau、Missouri、美国、63703
    - Southeast Cancer Center
  - Chesterfield、Missouri、美国、63017
    - Saint Luke's Hospital
  - City of Saint Peters、Missouri、美国、63376
    - Siteman Cancer Center at Saint Peters Hospital
  - Columbia、Missouri、美国、65212
    - University of Missouri - Ellis Fischel
  - Creve Coeur、Missouri、美国、63141
    - Siteman Cancer Center at West County Hospital
  - Farmington、Missouri、美国、63640
    - Parkland Health Center - Farmington
  - Independence、Missouri、美国、64057
    - Centerpoint Medical Center LLC
  - Jefferson City、Missouri、美国、65109
    - Capital Region Southwest Campus
  - Joplin、Missouri、美国、64804
    - Freeman Health System
  - Joplin、Missouri、美国、64804
    - Mercy Hospital Joplin
  - Kansas City、Missouri、美国、64154
    - University of Kansas Cancer Center - North
  - Kansas City、Missouri、美国、64116
    - North Kansas City Hospital
  - Kansas City、Missouri、美国、64131
    - The University of Kansas Cancer Center-South
  - Kansas City、Missouri、美国、64111
    - Saint Luke's Hospital of Kansas City
  - Kansas City、Missouri、美国、64132
    - Research Medical Center
  - Kansas City、Missouri、美国、64118
    - Heartland Hematology and Oncology Associates Incorporated
  - Lee's Summit、Missouri、美国、64064
    - University of Kansas Cancer Center - Lee's Summit
  - Lee's Summit、Missouri、美国、64086
    - Saint Luke's East - Lee's Summit
  - Liberty、Missouri、美国、64068
    - Liberty Radiation Oncology Center
  - North Kansas City、Missouri、美国、64116
    - University of Kansas Cancer Center at North Kansas City Hospital
  - Rolla、Missouri、美国、65401
    - Delbert Day Cancer Institute at PCRMC
  - Rolla、Missouri、美国、65401
    - Mercy Clinic-Rolla-Cancer and Hematology
  - Saint Joseph、Missouri、美国、64506
    - Heartland Regional Medical Center
  - Saint Joseph、Missouri、美国、64507
    - Saint Joseph Oncology Inc
  - Sainte Genevieve、Missouri、美国、63670
    - Sainte Genevieve County Memorial Hospital
  - Springfield、Missouri、美国、65807
    - CoxHealth South Hospital
  - Springfield、Missouri、美国、65804
    - Mercy Hospital Springfield
  - St Louis、Missouri、美国、63110
    - Barnes-Jewish Hospital
  - St Louis、Missouri、美国、63110
    - Washington University School of Medicine
  - St Louis、Missouri、美国、63129
    - Siteman Cancer Center-South County
  - St Louis、Missouri、美国、63131
    - Missouri Baptist Medical Center
  - St Louis、Missouri、美国、63141
    - Mercy Hospital Saint Louis
  - St Louis、Missouri、美国、63128
    - Mercy Hospital South
  - St Louis、Missouri、美国、63109
    - Saint Louis Cancer and Breast Institute-South City
  - Sullivan、Missouri、美国、63080
    - Missouri Baptist Sullivan Hospital
  - Sunset Hills、Missouri、美国、63127
    - Missouri Baptist Outpatient Center-Sunset Hills
- Montana
  - Anaconda、Montana、美国、59711
    - Community Hospital of Anaconda
  - Billings、Montana、美国、59101
    - Billings Clinic Cancer Center
  - Billings、Montana、美国、59101
    - Saint Vincent Healthcare
  - Bozeman、Montana、美国、59715
    - Bozeman Deaconess Hospital
  - Butte、Montana、美国、59701
    - Saint James Community Hospital and Cancer Treatment Center
  - Great Falls、Montana、美国、59405
    - Great Falls Clinic
  - Great Falls、Montana、美国、59405
    - Benefis Healthcare- Sletten Cancer Institute
  - Helena、Montana、美国、59601
    - Saint Peter's Community Hospital
  - Kalispell、Montana、美国、59901
    - Kalispell Regional Medical Center
  - Missoula、Montana、美国、59804
    - Community Medical Hospital
  - Missoula、Montana、美国、59802
    - Saint Patrick Hospital - Community Hospital
- Nebraska
  - Grand Island、Nebraska、美国、68803
    - CHI Health Saint Francis
  - Kearney、Nebraska、美国、68847
    - CHI Health Good Samaritan
  - Lincoln、Nebraska、美国、68516
    - Southeast Nebraska Cancer Center - 68th Street Place
  - Lincoln、Nebraska、美国、68516
    - Cancer Partners of Nebraska - Pine Lake
  - Omaha、Nebraska、美国、68198
    - University of Nebraska Medical Center
  - Omaha、Nebraska、美国、68124
    - Alegent Health Bergan Mercy Medical Center
  - Omaha、Nebraska、美国、68122
    - Alegent Health Immanuel Medical Center
  - Omaha、Nebraska、美国、68130
    - Alegent Health Lakeside Hospital
  - Omaha、Nebraska、美国、68131
    - Creighton University Medical Center
  - Papillion、Nebraska、美国、68046
    - Midlands Community Hospital
- Nevada
  - Carson City、Nevada、美国、89703
    - Carson Tahoe Regional Medical Center
  - Henderson、Nevada、美国、89052
    - Comprehensive Cancer Centers of Nevada - Henderson
  - Henderson、Nevada、美国、89052
    - OptumCare Cancer Care at Seven Hills
  - Henderson、Nevada、美国、89052
    - Cancer and Blood Specialists-Henderson
  - Henderson、Nevada、美国、89052
    - Las Vegas Cancer Center-Henderson
  - Henderson、Nevada、美国、89074
    - Comprehensive Cancer Centers of Nevada-Southeast Henderson
  - Henderson、Nevada、美国、89074
    - GenesisCare USA - Henderson
  - Las Vegas、Nevada、美国、89144
    - Summerlin Hospital Medical Center
  - Las Vegas、Nevada、美国、89102
    - OptumCare Cancer Care at Charleston
  - Las Vegas、Nevada、美国、89106
    - Radiation Oncology Centers of Nevada Central
  - Las Vegas、Nevada、美国、89109
    - GenesisCare USA - Las Vegas
  - Las Vegas、Nevada、美国、89119
    - Radiation Oncology Centers of Nevada Southeast
  - Las Vegas、Nevada、美国、89128
    - Comprehensive Cancer Centers of Nevada - Northwest
  - Las Vegas、Nevada、美国、89128
    - OptumCare Cancer Care at MountainView
  - Las Vegas、Nevada、美国、89135
    - Alliance for Childhood Diseases/Cure 4 the Kids Foundation
  - Las Vegas、Nevada、美国、89144
    - Comprehensive Cancer Centers of Nevada - Town Center
  - Las Vegas、Nevada、美国、89144
    - Comprehensive Cancer Centers of Nevada-Summerlin
  - Las Vegas、Nevada、美国、89148
    - Comprehensive Cancer Centers of Nevada
  - Las Vegas、Nevada、美国、89148
    - OptumCare Cancer Care at Fort Apache
  - Las Vegas、Nevada、美国、89169
    - Comprehensive Cancer Centers of Nevada - Central Valley
  - Las Vegas、Nevada、美国、89102
    - University Medical Center of Southern Nevada
  - Las Vegas、Nevada、美国、89106
    - Cancer and Blood Specialists-Shadow
  - Las Vegas、Nevada、美国、89109
    - HealthCare Partners Medical Group Oncology/Hematology-Maryland Parkway
  - Las Vegas、Nevada、美国、89113
    - HealthCare Partners Medical Group Oncology/Hematology-San Martin
  - Las Vegas、Nevada、美国、89121
    - Cancer Therapy and Integrative Medicine
  - Las Vegas、Nevada、美国、89128
    - Cancer and Blood Specialists-Tenaya
  - Las Vegas、Nevada、美国、89128
    - GenesisCare USA - Vegas Tenaya
  - Las Vegas、Nevada、美国、89128
    - HealthCare Partners Medical Group Oncology/Hematology-Tenaya
  - Las Vegas、Nevada、美国、89148-2405
    - Las Vegas Cancer Center-Medical Center
  - Las Vegas、Nevada、美国、89148
    - GenesisCare USA - Fort Apache
  - Las Vegas、Nevada、美国、89149
    - HealthCare Partners Medical Group Oncology/Hematology-Centennial Hills
  - Las Vegas、Nevada、美国、89128
    - Ann M Wierman MD LTD
  - Las Vegas、Nevada、美国、89169
    - University Cancer Center
  - Reno、Nevada、美国、89502
    - Renown Regional Medical Center
  - Reno、Nevada、美国、89503
    - Saint Mary's Regional Medical Center
  - Reno、Nevada、美国、89509
    - Radiation Oncology Associates
- New Hampshire
  - Exeter、New Hampshire、美国、03833
    - Exeter Hospital
  - Lebanon、New Hampshire、美国、03756
    - Dartmouth Hitchcock Medical Center
- New Jersey
  - Basking Ridge、New Jersey、美国、07920
    - Memorial Sloan Kettering Basking Ridge
  - Englewood、New Jersey、美国、07631
    - Englewood Hospital and Medical Center
  - Hackensack、New Jersey、美国、07601
    - Hackensack University Medical Center
  - Hamilton、New Jersey、美国、08690
    - The Cancer Institute of New Jersey Hamilton
  - Middletown、New Jersey、美国、07748
    - Memorial Sloan Kettering Monmouth
  - Montvale、New Jersey、美国、07645
    - Memorial Sloan Kettering Bergen
  - Morristown、New Jersey、美国、07960
    - Morristown Medical Center
  - Mount Holly、New Jersey、美国、08060
    - Virtua Memorial
  - Neptune City、New Jersey、美国、07753
    - Jersey Shore Medical Center
  - New Brunswick、New Jersey、美国、08903
    - Rutgers Cancer Institute of New Jersey
  - New Brunswick、New Jersey、美国、08903
    - Rutgers Cancer Institute of New Jersey-Robert Wood Johnson University Hospital
  - Newark、New Jersey、美国、07112
    - Newark Beth Israel Medical Center
  - Paterson、New Jersey、美国、07503
    - Saint Joseph's Regional Medical Center
  - Pennington、New Jersey、美国、08534
    - Capital Health Medical Center-Hopewell
  - Red Bank、New Jersey、美国、07701
    - Riverview Medical Center/Booker Cancer Center
  - Sewell、New Jersey、美国、08080
    - Sidney Kimmel Cancer Center Washington Township
  - Somerville、New Jersey、美国、08876
    - Robert Wood Johnson University Hospital Somerset
  - Summit、New Jersey、美国、07902
    - Overlook Hospital
  - Teaneck、New Jersey、美国、07666
    - Holy Name Hospital
  - Voorhees Township、New Jersey、美国、08043
    - Virtua Voorhees
- New Mexico
  - Albuquerque、New Mexico、美国、87102
    - University of New Mexico Cancer Center
  - Albuquerque、New Mexico、美国、87110
    - Presbyterian Kaseman Hospital
  - Albuquerque、New Mexico、美国、87109
    - Lovelace Women's Hospital
  - Las Cruces、New Mexico、美国、88011
    - Memorial Medical Center - Las Cruces
  - Rio Rancho、New Mexico、美国、87124
    - Presbyterian Rust Medical Center/Jorgensen Cancer Center
  - Santa Fe、New Mexico、美国、87505
    - Christus Saint Vincent Regional Cancer Center
- New York
  - Brooklyn、New York、美国、11215
    - New York-Presbyterian/Brooklyn Methodist Hospital
  - Buffalo、New York、美国、14263
    - Roswell Park Cancer Institute
  - Canandiaqua、New York、美国、14424
    - Sands Cancer Center
  - Carmel、New York、美国、10512
    - Putnam Hospital Center
  - Commack、New York、美国、11725
    - Memorial Sloan Kettering Commack
  - East White Plains、New York、美国、10604
    - Memorial Sloan Kettering Westchester
  - Fishkill、New York、美国、12524
    - Vassar Brothers Fishkill Radiation Oncology Center
  - Flushing、New York、美国、11355
    - The New York Hospital Medical Center of Queens
  - Glens Falls、New York、美国、12801
    - Glens Falls Hospital
  - Kingston、New York、美国、12401
    - Ulster Radiation Oncology Center
  - New York、New York、美国、10065
    - Memorial Sloan Kettering Cancer Center
  - New York、New York、美国、10019
    - Mount Sinai West
  - New York、New York、美国、10029
    - Mount Sinai Hospital
  - New York、New York、美国、10032
    - NYP/Columbia University Medical Center/Herbert Irving Comprehensive Cancer Center
  - New York、New York、美国、10065
    - NYP/Weill Cornell Medical Center
  - New York、New York、美国、10003
    - Mount Sinai Union Square
  - Poughkeepsie、New York、美国、12601
    - Vassar Brothers Medical Center
  - Rochester、New York、美国、14642
    - University of Rochester
  - Rochester、New York、美国、14623
    - Pluta Cancer Center
  - Sleepy Hollow、New York、美国、10591
    - Memorial Sloan Kettering Sleepy Hollow
  - Stony Brook、New York、美国、11794
    - Stony Brook University Medical Center
  - Syracuse、New York、美国、13210
    - State University of New York Upstate Medical University
  - Syracuse、New York、美国、13215
    - SUNY Upstate Medical Center-Community Campus
  - The Bronx、New York、美国、10461
    - Montefiore Medical Center-Einstein Campus
  - The Bronx、New York、美国、10467
    - Montefiore Medical Center - Moses Campus
  - The Bronx、New York、美国、10461
    - Montefiore Medical Center-Weiler Hospital
  - Uniondale、New York、美国、11553
    - Memorial Sloan Kettering Nassau
- North Carolina
  - Asheboro、North Carolina、美国、27203
    - Randolph Hospital
  - Asheville、North Carolina、美国、28801
    - Mission Hospital
  - Asheville、North Carolina、美国、28816
    - Hope Women's Cancer Centers-Asheville
  - Asheville、North Carolina、美国、28806
    - Messino Cancer Centers
  - Asheville、North Carolina、美国、28803
    - AdventHealth Infusion Center Asheville
  - Burlington、North Carolina、美国、27215
    - Cone Health Cancer Center at Alamance Regional
  - Charlotte、North Carolina、美国、28203
    - Carolinas Medical Center/Levine Cancer Institute
  - Charlotte、North Carolina、美国、28204
    - Novant Health Presbyterian Medical Center
  - Charlotte、North Carolina、美国、28210
    - Atrium Health Pineville/LCI-Pineville
  - Charlotte、North Carolina、美国、28262
    - Atrium Health University City/LCI-University
  - Charlotte、North Carolina、美国、28207
    - Oncology Specialists of Charlotte
  - Charlotte、North Carolina、美国、28262
    - Southern Oncology Specialists-Charlotte
  - Charlotte、North Carolina、美国、28211
    - Levine Cancer Institute-SouthPark
  - Charlotte、North Carolina、美国、28277
    - Levine Cancer Institute-Ballantyne
  - Clinton、North Carolina、美国、28328
    - Southeastern Medical Oncology Center-Clinton
  - Concord、North Carolina、美国、28025
    - Atrium Health Cabarrus/LCI-Concord
  - Durham、North Carolina、美国、27710
    - Duke University Medical Center
  - Goldsboro、North Carolina、美国、27534
    - Southeastern Medical Oncology Center-Goldsboro
  - Goldsboro、North Carolina、美国、27534
    - Wayne Memorial Hospital
  - Greensboro、North Carolina、美国、27403
    - Cone Health Cancer Center
  - Greensboro、North Carolina、美国、27403
    - Novant Health Breast Surgery - Greensboro
  - Greenville、North Carolina、美国、27834
    - East Carolina University
  - Hendersonville、North Carolina、美国、28791
    - Margaret R Pardee Memorial Hospital
  - Hendersonville、North Carolina、美国、28792
    - AdventHealth Hendersonville
  - Huntersville、North Carolina、美国、28078
    - Novant Health Cancer Institute - Huntersville
  - Huntersville、North Carolina、美国、28078
    - Southern Oncology Specialists-Huntersville
  - Jacksonville、North Carolina、美国、28546
    - Southeastern Medical Oncology Center-Jacksonville
  - Jacksonville、North Carolina、美国、28546
    - Onslow Memorial Hospital
  - Kernersville、North Carolina、美国、27284
    - Novant Health Cancer Institute - Kernersville
  - Matthews、North Carolina、美国、28105
    - Matthews Radiation Oncology Center
  - Matthews、North Carolina、美国、28105
    - Novant Health Cancer Institute - Matthews
  - Mebane、North Carolina、美国、27302
    - Cone Heath Cancer Center at Mebane
  - Monroe、North Carolina、美国、28112
    - Atrium Health Union/LCI-Union
  - Mooresville、North Carolina、美国、28117
    - Novant Health Cancer Institute - Mooresville
  - Mount Airy、North Carolina、美国、27030
    - Novant Health Cancer Institute - Mount Airy
  - Reidsville、North Carolina、美国、27320
    - Annie Penn Memorial Hospital
  - Shelby、North Carolina、美国、28150
    - Atrium Health Cleveland/LCI-Cleveland
  - Statesville、North Carolina、美国、28677
    - Iredell Memorial Hospital
  - Stateville、North Carolina、美国、28625
    - Novant Health Cancer Institute - Statesville
  - Supply、North Carolina、美国、28462
    - NHRMC Radiation Oncology - Supply
  - Thomasville、North Carolina、美国、27360
    - Novant Health Cancer Institute - Thomasville
  - Wilkesboro、North Carolina、美国、28659
    - Novant Health Cancer Institute - Wilkesboro
  - Wilmington、North Carolina、美国、28401
    - New Hanover Regional Medical Center/Zimmer Cancer Center
  - Wilmington、North Carolina、美国、28401
    - Novant Health Cancer Institute Radiation Oncology - Wilmington
  - Winston-Salem、North Carolina、美国、27157
    - Wake Forest University Health Sciences
  - Winston-Salem、North Carolina、美国、27103
    - Novant Health Forsyth Medical Center
- North Dakota
  - Bismarck、North Dakota、美国、58501
    - Sanford Bismarck Medical Center
  - Fargo、North Dakota、美国、58122
    - Sanford Roger Maris Cancer Center
  - Fargo、North Dakota、美国、58122
    - Sanford Broadway Medical Center
  - Fargo、North Dakota、美国、58122
    - Sanford Clinic North-Fargo
- Ohio
  - Akron、Ohio、美国、44307
    - Cleveland Clinic Akron General
  - Beachwood、Ohio、美国、44122
    - UHHS-Chagrin Highlands Medical Center
  - Belpre、Ohio、美国、45714
    - Strecker Cancer Center-Belpre
  - Bowling Green、Ohio、美国、43402
    - Toledo Clinic Cancer Centers-Bowling Green
  - Centerville、Ohio、美国、45459
    - Miami Valley Hospital South
  - Centerville、Ohio、美国、45459
    - Dayton Physicians LLC-Miami Valley South
  - Chardon、Ohio、美国、44024
    - Geauga Hospital
  - Chillicothe、Ohio、美国、45601
    - Adena Regional Medical Center
  - Cincinnati、Ohio、美国、45219
    - The Christ Hospital
  - Cincinnati、Ohio、美国、45219
    - University of Cincinnati Cancer Center-UC Medical Center
  - Cincinnati、Ohio、美国、45220
    - Good Samaritan Hospital - Cincinnati
  - Cincinnati、Ohio、美国、45242
    - Bethesda North Hospital
  - Cincinnati、Ohio、美国、45242
    - Oncology Hematology Care Inc-Blue Ash
  - Cincinnati、Ohio、美国、45202
    - Oncology Hematology Care Inc-Eden Park
  - Cincinnati、Ohio、美国、45211
    - Oncology Hematology Care Inc-Mercy West
  - Cincinnati、Ohio、美国、45230
    - Oncology Hematology Care Inc-Anderson
  - Cincinnati、Ohio、美国、45236
    - Oncology Hematology Care Inc-Kenwood
  - Cleveland、Ohio、美国、44106
    - Case Western Reserve University
  - Cleveland、Ohio、美国、44109
    - MetroHealth Medical Center
  - Columbus、Ohio、美国、43214
    - Riverside Methodist Hospital
  - Columbus、Ohio、美国、43210
    - Ohio State University Comprehensive Cancer Center
  - Columbus、Ohio、美国、43219
    - The Mark H Zangmeister Center
  - Columbus、Ohio、美国、43214
    - Columbus Oncology and Hematology Associates Inc
  - Columbus、Ohio、美国、43228
    - Doctors Hospital
  - Columbus、Ohio、美国、43213
    - Mount Carmel East Hospital
  - Columbus、Ohio、美国、43215
    - Grant Medical Center
  - Columbus、Ohio、美国、43222
    - Mount Carmel Health Center West
  - Dayton、Ohio、美国、45406
    - Good Samaritan Hospital - Dayton
  - Dayton、Ohio、美国、45409
    - Miami Valley Hospital
  - Dayton、Ohio、美国、45415
    - Dayton Physician LLC-Miami Valley Hospital North
  - Dayton、Ohio、美国、45415
    - Miami Valley Hospital North
  - Delaware、Ohio、美国、43015
    - Delaware Health Center-Grady Cancer Center
  - Delaware、Ohio、美国、43015
    - Delaware Radiation Oncology
  - Delaware、Ohio、美国、43015
    - Grady Memorial Hospital
  - Dublin、Ohio、美国、43016
    - Dublin Methodist Hospital
  - Elyria、Ohio、美国、44035
    - Mercy Cancer Center-Elyria
  - Fairfield、Ohio、美国、45014
    - Oncology Hematology Care Inc-Healthplex
  - Findlay、Ohio、美国、45840
    - Blanchard Valley Hospital
  - Findlay、Ohio、美国、45840
    - Armes Family Cancer Center
  - Findlay、Ohio、美国、45840
    - Orion Cancer Care
  - Franklin、Ohio、美国、45005-1066
    - Atrium Medical Center-Middletown Regional Hospital
  - Franklin、Ohio、美国、45005
    - Dayton Physicians LLC-Atrium
  - Greenville、Ohio、美国、45331
    - Wayne Hospital
  - Greenville、Ohio、美国、45331
    - Dayton Physicians LLC-Wayne
  - Grove City、Ohio、美国、43123
    - Mount Carmel Grove City Hospital
  - Kettering、Ohio、美国、45429
    - Kettering Medical Center
  - Kettering、Ohio、美国、45409
    - Greater Dayton Cancer Center
  - Lancaster、Ohio、美国、43130
    - Fairfield Medical Center
  - Lima、Ohio、美国、45801
    - Saint Rita's Medical Center
  - Lima、Ohio、美国、45804
    - Lima Memorial Hospital
  - Mansfield、Ohio、美国、44903
    - OhioHealth Mansfield Hospital
  - Marietta、Ohio、美国、45750
    - Marietta Memorial Hospital
  - Marion、Ohio、美国、43302
    - OhioHealth Marion General Hospital
  - Maumee、Ohio、美国、43537
    - Toledo Clinic Cancer Centers-Maumee
  - Maumee、Ohio、美国、43537
    - Toledo Radiation Oncology at Northwest Ohio Onocolgy Center
  - Mentor、Ohio、美国、44060
    - UH Seidman Cancer Center at Lake Health Mentor Campus
  - Middleburg Heights、Ohio、美国、44130
    - UH Seidman Cancer Center at Southwest General Hospital
  - Middletown、Ohio、美国、45042
    - Dayton Physicians LLC-Signal Point
  - Mount Vernon、Ohio、美国、43050
    - Knox Community Hospital
  - Newark、Ohio、美国、43055
    - Licking Memorial Hospital
  - Newark、Ohio、美国、43055
    - Newark Radiation Oncology
  - Oregon、Ohio、美国、43616
    - Saint Charles Hospital
  - Oregon、Ohio、美国、43616
    - Toledo Clinic Cancer Centers-Oregon
  - Parma、Ohio、美国、44129
    - University Hospitals Parma Medical Center
  - Perrysburg、Ohio、美国、43551
    - Mercy Health Perrysburg Cancer Center
  - Portsmouth、Ohio、美国、45662
    - Southern Ohio Medical Center
  - Ravenna、Ohio、美国、44266
    - University Hospitals Portage Medical Center
  - Sandusky、Ohio、美国、44870
    - UH Seidman Cancer Center at Firelands Regional Medical Center
  - Sidney、Ohio、美国、45365
    - Dayton Physicians LLC-Wilson
  - Springfield、Ohio、美国、45505
    - Springfield Regional Medical Center
  - Springfield、Ohio、美国、45504
    - Springfield Regional Cancer Center
  - Sylvania、Ohio、美国、43560
    - ProMedica Flower Hospital
  - Tiffin、Ohio、美国、44883
    - Mercy Hospital of Tiffin
  - Toledo、Ohio、美国、43608
    - Saint Vincent Mercy Medical Center
  - Toledo、Ohio、美国、43623
    - Mercy Health - Saint Anne Hospital
  - Toledo、Ohio、美国、43623
    - Toledo Clinic Cancer Centers-Toledo
  - Toledo、Ohio、美国、43614
    - University of Toledo
  - Toledo、Ohio、美国、43617
    - Toledo Community Hospital Oncology Program CCOP
  - Troy、Ohio、美国、45373
    - Upper Valley Medical Center
  - Troy、Ohio、美国、45373
    - Dayton Physicians LLC-Upper Valley
  - Wauseon、Ohio、美国、43567
    - Fulton County Health Center
  - West Chester、Ohio、美国、45069
    - University of Cincinnati Cancer Center-West Chester
  - Westerville、Ohio、美国、43081
    - Saint Ann's Hospital
  - Westlake、Ohio、美国、44145
    - UH Seidman Cancer Center at Saint John Medical Center
  - Westlake、Ohio、美国、44145
    - UHHS-Westlake Medical Center
  - Wpafb、Ohio、美国、45433
    - Wright-Patterson Medical Center
  - Zanesville、Ohio、美国、43701
    - Genesis Healthcare System Cancer Care Center
- Oklahoma
  - Oklahoma City、Oklahoma、美国、73104
    - University of Oklahoma Health Sciences Center
  - Oklahoma City、Oklahoma、美国、73120
    - Mercy Hospital Oklahoma City
  - Oklahoma City、Oklahoma、美国、73142
    - Integris Cancer Institute of Oklahoma
- Oregon
  - Baker City、Oregon、美国、97814
    - Saint Alphonsus Medical Center-Baker City
  - Bend、Oregon、美国、97701
    - Saint Charles Health System
  - Clackamas、Oregon、美国、97015
    - Clackamas Radiation Oncology Center
  - Clackamas、Oregon、美国、97015
    - Providence Cancer Institute Clackamas Clinic
  - Coos Bay、Oregon、美国、97420
    - Bay Area Hospital
  - Milwaukie、Oregon、美国、97222
    - Providence Milwaukie Hospital
  - Newberg、Oregon、美国、97132
    - Providence Newberg Medical Center
  - Ontario、Oregon、美国、97914
    - Saint Alphonsus Medical Center-Ontario
  - Oregon City、Oregon、美国、97045
    - Providence Willamette Falls Medical Center
  - Portland、Oregon、美国、97239
    - Oregon Health and Science University
  - Portland、Oregon、美国、97213
    - Providence Portland Medical Center
  - Portland、Oregon、美国、97225
    - Providence Saint Vincent Medical Center
  - Portland、Oregon、美国、97227
    - Compass Oncology Rose Quarter
  - Salem、Oregon、美国、97301
    - Salem Hospital
- Pennsylvania
  - Allentown、Pennsylvania、美国、18103
    - Lehigh Valley Hospital-Cedar Crest
  - Beaver、Pennsylvania、美国、15009
    - UPMC-Heritage Valley Health System Beaver
  - Bethlehem、Pennsylvania、美国、18017
    - Lehigh Valley Hospital - Muhlenberg
  - Broomall、Pennsylvania、美国、19008
    - Crozer-Keystone Regional Cancer Center at Broomall
  - Chadds Ford、Pennsylvania、美国、19317
    - Christiana Care Health System-Concord Health Center
  - Danville、Pennsylvania、美国、17822
    - Geisinger Medical Center
  - Doylestown、Pennsylvania、美国、18901
    - Doylestown Hospital
  - Drexel Hill、Pennsylvania、美国、19026
    - Delaware County Memorial Hospital
  - East Stroudsburg、Pennsylvania、美国、18301
    - Pocono Medical Center
  - Ephrata、Pennsylvania、美国、17522
    - Ephrata Cancer Center
  - Ephrata、Pennsylvania、美国、17522
    - Ephrata Community Hospital
  - Erie、Pennsylvania、美国、16505
    - UPMC Hillman Cancer Center Erie
  - Erie、Pennsylvania、美国、16550
    - UPMC Hamot
  - Erie、Pennsylvania、美国、16544
    - Saint Vincent Hospital
  - Gettysburg、Pennsylvania、美国、17325
    - Adams Cancer Center
  - Greensburg、Pennsylvania、美国、15601
    - UPMC Cancer Centers - Arnold Palmer Pavilion
  - Hanover、Pennsylvania、美国、17331
    - Cherry Tree Cancer Center
  - Harrisburg、Pennsylvania、美国、17109
    - UPMC Pinnacle Cancer Center/Community Osteopathic Campus
  - Hazleton、Pennsylvania、美国、18201
    - Geisinger Medical Center-Cancer Center Hazleton
  - Hershey、Pennsylvania、美国、17033-0850
    - Penn State Milton S Hershey Medical Center
  - Jefferson Hills、Pennsylvania、美国、15025
    - Jefferson Hospital
  - Johnstown、Pennsylvania、美国、15901
    - UPMC-Johnstown/John P. Murtha Regional Cancer Center
  - Kittanning、Pennsylvania、美国、16201
    - Armstrong Center for Medicine and Health
  - Lancaster、Pennsylvania、美国、17602
    - Lancaster General Hospital
  - Lebanon、Pennsylvania、美国、17042
    - Sechler Family Cancer Center
  - Lewisburg、Pennsylvania、美国、17837
    - Geisinger Medical Oncology-Lewisburg
  - Lewisburg、Pennsylvania、美国、17837
    - Evangelical Community Hospital
  - Lewistown、Pennsylvania、美国、17044
    - Lewistown Hospital
  - McKeesport、Pennsylvania、美国、15132
    - UPMC Cancer Center at UPMC McKeesport
  - Meadowbrook、Pennsylvania、美国、19046
    - Holy Redeemer Hospital And Medical Center
  - Monroeville、Pennsylvania、美国、15146
    - Forbes Hospital
  - Monroeville、Pennsylvania、美国、15146
    - UPMC Cancer Center - Monroeville
  - Moon Township、Pennsylvania、美国、15108
    - UPMC-Coraopolis/Heritage Valley Radiation Oncology
  - Natrona Heights、Pennsylvania、美国、15065
    - Allegheny Valley Hospital
  - Philadelphia、Pennsylvania、美国、19107
    - Thomas Jefferson University Hospital
  - Philadelphia、Pennsylvania、美国、19102
    - Drexel University School of Medicine
  - Pittsburgh、Pennsylvania、美国、15212
    - Allegheny General Hospital
  - Pittsburgh、Pennsylvania、美国、15224
    - West Penn Hospital
  - Pittsburgh、Pennsylvania、美国、15213
    - UPMC-Magee Womens Hospital
  - Pittsburgh、Pennsylvania、美国、15232
    - University of Pittsburgh Cancer Institute (UPCI)
  - Pittsburgh、Pennsylvania、美国、15232
    - UPMC-Shadyside Hospital
  - Pittsburgh、Pennsylvania、美国、15213
    - UPMC-Presbyterian Hospital
  - Pittsburgh、Pennsylvania、美国、15215
    - UPMC-Saint Margaret
  - Pittsburgh、Pennsylvania、美国、15236
    - UPMC Jefferson Regional Radiation Oncology
  - Pittsburgh、Pennsylvania、美国、15237
    - UPMC-Passavant Hospital
  - Pittsburgh、Pennsylvania、美国、15243
    - UPMC-Saint Clair Hospital Cancer Center
  - Sayre、Pennsylvania、美国、18840
    - Guthrie Medical Group PC-Robert Packer Hospital
  - Seneca、Pennsylvania、美国、16346
    - UPMC Cancer Center at UPMC Northwest
  - Uniontown、Pennsylvania、美国、15401
    - UPMC Uniontown Hospital Radiation Oncology
  - Washington、Pennsylvania、美国、15301
    - UPMC Washington Hospital Radiation Oncology
  - Wexford、Pennsylvania、美国、15090
    - Wexford Health and Wellness Pavilion
  - Wilkes-Barre、Pennsylvania、美国、18711
    - Geisinger Wyoming Valley/Henry Cancer Center
  - Willow Grove、Pennsylvania、美国、19090
    - Asplundh Cancer Pavilion
  - York、Pennsylvania、美国、17403
    - WellSpan Health-York Cancer Center
  - York、Pennsylvania、美国、17403
    - WellSpan Health-York Hospital
  - York、Pennsylvania、美国、17408
    - UPMC Memorial
- Rhode Island
  - Providence、Rhode Island、美国、02903
    - Rhode Island Hospital
  - Providence、Rhode Island、美国、02905
    - Women and Infants Hospital
  - Providence、Rhode Island、美国、02906
    - Miriam Hospital
  - Providence、Rhode Island、美国、02904
    - Radiation Oncology Associates Incorporated
  - Warwick、Rhode Island、美国、02886
    - Kent Hospital
- South Carolina
  - Anderson、South Carolina、美国、29621
    - AnMed Health Cancer Center
  - Boiling Springs、South Carolina、美国、29316
    - Prisma Health Cancer Institute - Spartanburg
  - Charleston、South Carolina、美国、29425
    - Medical University of South Carolina
  - Charleston、South Carolina、美国、29401
    - Roper Hospital
  - Charleston、South Carolina、美国、29406
    - Lowcountry Hematology Oncology PA-North Charleston
  - Charleston、South Carolina、美国、29414
    - Bon Secours Saint Francis Hospital
  - Charleston、South Carolina、美国、29414
    - Lowcountry Hematology Oncology PA-West Ashley
  - Charleston、South Carolina、美国、29403
    - Charleston Oncology - Roper
  - Charleston、South Carolina、美国、29414
    - Charleston Oncology - Saint Francis
  - Easley、South Carolina、美国、29640
    - Prisma Health Cancer Institute - Easley
  - Georgetown、South Carolina、美国、29440
    - Tidelands Georgetown Memorial Hospital
  - Greenville、South Carolina、美国、29605
    - Prisma Health Cancer Institute - Faris
  - Greenville、South Carolina、美国、29607
    - Saint Francis Cancer Center
  - Greenville、South Carolina、美国、29615
    - Prisma Health Cancer Institute - Eastside
  - Greenville、South Carolina、美国、29605
    - Prisma Health Cancer Institute - Butternut
  - Greenville、South Carolina、美国、29601
    - Saint Francis Hospital
  - Greenville、South Carolina、美国、29605
    - Prisma Health Greenville Memorial Hospital
  - Greenville、South Carolina、美国、29601
    - Greenville Health System Cancer Institute-Andrews
  - Greenwood、South Carolina、美国、29646
    - Self Regional Healthcare
  - Greer、South Carolina、美国、29650
    - Prisma Health Cancer Institute - Greer
  - Greer、South Carolina、美国、29651
    - Gibbs Cancer Center-Pelham
  - Lancaster、South Carolina、美国、29720
    - Carolina Blood and Cancer Care Associates PA-Lancaster
  - Lancaster、South Carolina、美国、29720
    - Lancaster Radiation Therapy Center
  - Mt. Pleasant、South Carolina、美国、29464
    - Lowcountry Hematology Oncology PA-Mount Pleasant
  - Rock Hill、South Carolina、美国、29732
    - Levine Cancer Institute-Rock Hill
  - Rock Hill、South Carolina、美国、29732
    - Carolina Blood and Cancer Care Associates PA
  - Rock Hill、South Carolina、美国、29730
    - Rock Hill Radiation Therapy Center
  - Seneca、South Carolina、美国、29672
    - Prisma Health Cancer Institute - Seneca
  - Spartanburg、South Carolina、美国、29303
    - Spartanburg Medical Center
- South Dakota
  - Sioux Falls、South Dakota、美国、57117-5134
    - Sanford USD Medical Center - Sioux Falls
  - Sioux Falls、South Dakota、美国、57104
    - Sanford Cancer Center Oncology Clinic
- Tennessee
  - Chattanooga、Tennessee、美国、37404
    - Memorial Hospital
  - Chattanooga、Tennessee、美国、37403
    - Erlanger Medical Center
  - Germantown、Tennessee、美国、38138
    - The West Clinic - Wolf River
  - Jackson、Tennessee、美国、38301
    - Jackson-Madison County General Hospital
  - Knoxville、Tennessee、美国、37920
    - University of Tennessee - Knoxville
  - Memphis、Tennessee、美国、38120
    - Baptist Memorial Hospital and Cancer Center-Memphis
  - Memphis、Tennessee、美国、38120
    - Baptist Memorial Hospital for Women
  - Memphis、Tennessee、美国、38163
    - University of Tennessee Health Science Center
  - Memphis、Tennessee、美国、38104
    - The West Clinic - Mid-Town
  - Memphis、Tennessee、美国、38104
    - Methodist Hospital
  - Nashville、Tennessee、美国、37232
    - Vanderbilt University/Ingram Cancer Center
  - Nashville、Tennessee、美国、37204
    - Vanderbilt Breast Center at One Hundred Oaks
  - Nashville、Tennessee、美国、37208
    - Meharry Medical College
  - Nashville、Tennessee、美国、37203
    - Nashville Breast Center
- Texas
  - Amarillo、Texas、美国、79106
    - The Don and Sybil Harrington Cancer Center
  - Arlington、Texas、美国、76014
    - Texas Oncology-Arlington South
  - Beaumont、Texas、美国、77702
    - Texas Oncology PA Beaumont
  - Bedford、Texas、美国、76022
    - Texas Oncology Bedford
  - Bryan、Texas、美国、77802
    - Saint Joseph Regional Cancer Center
  - Conroe、Texas、美国、77384
    - MD Anderson in The Woodlands
  - Dallas、Texas、美国、75235
    - Parkland Memorial Hospital
  - Dallas、Texas、美国、75390
    - UT Southwestern/Simmons Cancer Center-Dallas
  - Dallas、Texas、美国、75246
    - Baylor University Medical Center
  - Denison、Texas、美国、75020
    - Texas Oncology - Denison Cancer Center
  - Flower Mound、Texas、美国、75028
    - Texas Oncology-Flower Mound
  - Galveston、Texas、美国、77555-0565
    - University of Texas Medical Branch
  - Grapevine、Texas、美国、76053
    - Texas Oncology-Grapevine
  - Houston、Texas、美国、77030
    - M D Anderson Cancer Center
  - Houston、Texas、美国、77079
    - MD Anderson West Houston
  - Irving、Texas、美国、75061
    - Baylor Medical Center at Irving
  - Laredo、Texas、美国、78041
    - Doctor's Hospital of Laredo
  - League City、Texas、美国、77573
    - UTMB Cancer Center at Victory Lakes
  - League City、Texas、美国、77573
    - MD Anderson League City
  - Lubbock、Texas、美国、79415
    - UMC Cancer Center / UMC Health System
  - Lubbock、Texas、美国、79430
    - Texas Tech University Health Sciences Center-Lubbock
  - McKinney、Texas、美国、75071
    - Texas Oncology-McKinney
  - Odessa、Texas、美国、79761
    - West Texas Cancer Center
  - Plano、Texas、美国、75093
    - Texas Oncology-Plano West
  - Round Rock、Texas、美国、78665
    - Scott and White Healthcare Round Rock
  - Sugar Land、Texas、美国、77478
    - MD Anderson in Sugar Land
  - Sugar Land、Texas、美国、77479
    - Texas Oncology Cancer Center Sugar Land
  - Temple、Texas、美国、76508
    - Scott and White Memorial Hospital
- Utah
  - American Fork、Utah、美国、84003
    - American Fork Hospital / Huntsman Intermountain Cancer Center
  - Cedar City、Utah、美国、84720
    - Sandra L Maxwell Cancer Center
  - Farmington、Utah、美国、84025
    - Farmington Health Center
  - Logan、Utah、美国、84321
    - Logan Regional Hospital
  - Murray、Utah、美国、84107
    - Intermountain Medical Center
  - Ogden、Utah、美国、84403
    - McKay-Dee Hospital Center
  - Provo、Utah、美国、84604
    - Utah Valley Regional Medical Center
  - Riverton、Utah、美国、84065
    - Riverton Hospital
  - Salt Lake City、Utah、美国、84112
    - Huntsman Cancer Institute/University of Utah
  - Salt Lake City、Utah、美国、84106
    - Utah Cancer Specialists-Salt Lake City
  - Salt Lake City、Utah、美国、84143
    - LDS Hospital
  - Salt Lake City、Utah、美国、84106
    - University of Utah Sugarhouse Health Center
  - South Jordan、Utah、美国、84009
    - South Jordan Health Center
  - St. George、Utah、美国、84770
    - Dixie Medical Center Regional Cancer Center
- Vermont
  - Berlin Corners、Vermont、美国、05602
    - Central Vermont Medical Center/National Life Cancer Treatment
  - Burlington、Vermont、美国、05401
    - University of Vermont Medical Center
  - Burlington、Vermont、美国、05405
    - University of Vermont and State Agricultural College
  - Rutland、Vermont、美国、05701
    - Rutland Regional Medical Center
  - Saint Johnsbury、Vermont、美国、05819
    - Norris Cotton Cancer Center-North
- Virginia
  - Alexandria、Virginia、美国、22304
    - Inova Alexandria Hospital
  - Charlottesville、Virginia、美国、22908
    - University of Virginia Cancer Center
  - Charlottesville、Virginia、美国、22901
    - Sentara Martha Jefferson Hospital
  - Fairfax、Virginia、美国、22033
    - Inova Fair Oaks Hospital
  - Falls Church、Virginia、美国、22042
    - Inova Fairfax Hospital
  - Fredericksburg、Virginia、美国、22401
    - Fredericksburg Oncology Inc
  - Fredericksburg、Virginia、美国、22408
    - Hematology Oncology Associates of Fredericksburg Inc
  - Fredericksburg、Virginia、美国、22401
    - Mary Washington Hospital
  - Hampton、Virginia、美国、23666
    - Sentara Cancer Institute at Sentara CarePlex Hospital
  - Mechanicsville、Virginia、美国、23116
    - Bon Secours Memorial Regional Medical Center
  - Midlothian、Virginia、美国、23114
    - Bon Secours Saint Francis Medical Center
  - Norfolk、Virginia、美国、23507
    - Sentara Norfolk General Hospital
  - Norfolk、Virginia、美国、23502
    - Sentara Leigh Hospital
  - Portsmouth、Virginia、美国、23708-2197
    - Naval Medical Center - Portsmouth
  - Richmond、Virginia、美国、23235
    - VCU Massey Cancer Center at Stony Point
  - Richmond、Virginia、美国、23298
    - Virginia Commonwealth University/Massey Cancer Center
  - Richmond、Virginia、美国、23226
    - Bon Secours Saint Mary's Hospital
  - Richmond、Virginia、美国、23230
    - Bon Secours Cancer Institute at Reynolds Crossing
  - Virginia Beach、Virginia、美国、23454
    - Sentara Virginia Beach General Hospital
  - Virginia Beach、Virginia、美国、23456
    - Sentara Princess Anne Hospital
- Washington
  - Aberdeen、Washington、美国、98520
    - Providence Regional Cancer System-Aberdeen
  - Anacortes、Washington、美国、98221
    - Cancer Care Center at Island Hospital
  - Auburn、Washington、美国、98001
    - MultiCare Auburn Medical Center
  - Bainbridge Island、Washington、美国、98110
    - Virginia Mason Bainbridge Island Medical Center
  - Bellevue、Washington、美国、98004
    - Overlake Medical Center
  - Bellevue、Washington、美国、98005
    - Swedish Cancer Institute-Eastside Oncology Hematology
  - Bellingham、Washington、美国、98225
    - PeaceHealth Saint Joseph Medical Center
  - Bremerton、Washington、美国、98310
    - Harrison HealthPartners Hematology and Oncology-Bremerton
  - Bremerton、Washington、美国、98310
    - Harrison Medical Center
  - Burien、Washington、美国、98166
    - Highline Medical Center-Main Campus
  - Centralia、Washington、美国、98531
    - Providence Regional Cancer System-Centralia
  - Edmonds、Washington、美国、98026
    - Swedish Cancer Institute-Edmonds
  - Everett、Washington、美国、98201
    - Providence Regional Cancer Partnership
  - Federal Way、Washington、美国、98002
    - Virginia Mason Federal Way Medical Center
  - Gig Harbor、Washington、美国、98332
    - Tacoma/Valley Radiation Oncology Centers-Gig Harbor
  - Gig Harbor、Washington、美国、98335
    - MultiCare Gig Harbor Medical Park
  - Issaquah、Washington、美国、98029
    - Swedish Cancer Institute-Issaquah
  - Kennewick、Washington、美国、99336
    - Kadlec Clinic Hematology and Oncology
  - Kennewick、Washington、美国、99336
    - Northwest Cancer Clinic
  - Kennewick、Washington、美国、99336
    - Tri-Cities Cancer Center
  - Lacey、Washington、美国、98503
    - Providence Regional Cancer System-Lacey
  - Longview、Washington、美国、98632
    - PeaceHealth Saint John Medical Center
  - Lynnwood、Washington、美国、98036
    - Virginia Mason Lynnwood Medical Center
  - Port Townsend、Washington、美国、98368
    - Jefferson Healthcare
  - Poulsbo、Washington、美国、98370
    - Harrison HealthPartners Hematology and Oncology-Poulsbo
  - Poulsbo、Washington、美国、98370
    - Peninsula Cancer Center
  - Puyallup、Washington、美国、98372
    - MultiCare Good Samaritan Hospital
  - Puyallup、Washington、美国、98372
    - Tacoma/Valley Radiation Oncology Centers-Puyallup
  - Renton、Washington、美国、98055
    - Valley Medical Center
  - Seattle、Washington、美国、98109
    - Fred Hutchinson Cancer Research Center
  - Seattle、Washington、美国、98109
    - Seattle Cancer Care Alliance
  - Seattle、Washington、美国、98101
    - Virginia Mason Medical Center
  - Seattle、Washington、美国、98107
    - Swedish Medical Center-Ballard Campus
  - Seattle、Washington、美国、98195
    - University of Washington Medical Center - Montlake
  - Seattle、Washington、美国、98112
    - Kaiser Permanente Washington
  - Seattle、Washington、美国、98104
    - Minor and James Medical PLLC
  - Seattle、Washington、美国、98104
    - Pacific Gynecology Specialists
  - Seattle、Washington、美国、98122-4307
    - Swedish Medical Center-First Hill
  - Seattle、Washington、美国、98133
    - Seattle Cancer Care Alliance at Northwest Hospital
  - Seattle、Washington、美国、98122-5711
    - Swedish Medical Center-Cherry Hill
  - Sedro-Woolley、Washington、美国、98284
    - PeaceHealth United General Medical Center
  - Shelton、Washington、美国、98584
    - Providence Regional Cancer System-Shelton
  - Spokane、Washington、美国、99218
    - Evergreen Hematology and Oncology PS
  - Spokane、Washington、美国、99204
    - MultiCare Deaconess Cancer and Blood Specialty Center - Downtown
  - Spokane、Washington、美国、99218
    - MultiCare Deaconess Cancer and Blood Specialty Center - North
  - Spokane Valley、Washington、美国、99216
    - MultiCare Deaconess Cancer and Blood Specialty Center - Valley
  - Tacoma、Washington、美国、98405
    - Northwest Medical Specialties PLLC
  - Tacoma、Washington、美国、98405
    - MultiCare Tacoma General Hospital
  - Tacoma、Washington、美国、98405
    - Tacoma/Valley Radiation Oncology Centers-Saint Joe's
  - Tacoma、Washington、美国、97405
    - Tacoma/Valley Radiation Oncology Centers-Jackson Hall
  - Tacoma、Washington、美国、98405
    - Saint Joseph Medical Center
  - Vancouver、Washington、美国、98664
    - PeaceHealth Southwest Medical Center
  - Vancouver、Washington、美国、98684
    - Compass Oncology Vancouver
  - Walla Walla、Washington、美国、99362
    - Providence Saint Mary Regional Cancer Center
  - Wenatchee、Washington、美国、98801
    - Wenatchee Valley Hospital and Clinics
  - Yakima、Washington、美国、98902
    - North Star Lodge Cancer Center at Yakima Valley Memorial Hospital
  - Yelm、Washington、美国、98597
    - Providence Regional Cancer System-Yelm
- West Virginia
  - Bridgeport、West Virginia、美国、26330
    - United Hospital Center
  - Huntington、West Virginia、美国、25701
    - Edwards Comprehensive Cancer Center
  - Huntington、West Virginia、美国、25702
    - Saint Mary's Medical Center
  - Morgantown、West Virginia、美国、26506
    - West Virginia University Healthcare
  - Parkersburg、West Virginia、美国、26101
    - Camden Clark Medical Center
- Wisconsin
  - Appleton、Wisconsin、美国、54911
    - ThedaCare Regional Cancer Center
  - Appleton、Wisconsin、美国、54915
    - Ascension Saint Elizabeth Hospital
  - Appleton、Wisconsin、美国、54911
    - Fox Valley Surgical Associates Limited
  - Appleton、Wisconsin、美国、54911
    - ThedaCare Regional Medical Center - Appleton
  - Brookfield、Wisconsin、美国、53045
    - Ascension Southeast Wisconsin Hospital - Elmbrook Campus
  - Burlington、Wisconsin、美国、53105
    - Aurora Cancer Care-Southern Lakes VLCC
  - Chilton、Wisconsin、美国、53014
    - Ascension Calumet Hospital
  - Eau Claire、Wisconsin、美国、54701
    - Marshfield Medical Center-EC Cancer Center
  - Eau Claire、Wisconsin、美国、54701
    - HSHS Sacred Heart Hospital
  - Fond du Lac、Wisconsin、美国、54937
    - Aurora Health Center-Fond du Lac
  - Franklin、Wisconsin、美国、53132
    - Ascension Saint Francis - Reiman Cancer Center
  - Franklin、Wisconsin、美国、53132
    - Ascension Southeast Wisconsin Hospital - Franklin
  - Germantown、Wisconsin、美国、53022
    - Aurora Health Care Germantown Health Center
  - Grafton、Wisconsin、美国、53024
    - Aurora Cancer Care-Grafton
  - Green Bay、Wisconsin、美国、54311
    - Aurora BayCare Medical Center
  - Green Bay、Wisconsin、美国、54301
    - Saint Vincent Hospital Cancer Center Green Bay
  - Green Bay、Wisconsin、美国、54303
    - Saint Vincent Hospital Cancer Center at Saint Mary's
  - Green Bay、Wisconsin、美国、54301
    - Bellin Memorial Hospital
  - Johnson Creek、Wisconsin、美国、53038
    - UW Cancer Center Johnson Creek
  - Kenosha、Wisconsin、美国、53142
    - Aurora Cancer Care-Kenosha South
  - La Crosse、Wisconsin、美国、54601
    - Gundersen Lutheran Medical Center
  - Madison、Wisconsin、美国、53792
    - University of Wisconsin Carbone Cancer Center
  - Marinette、Wisconsin、美国、54143
    - Aurora Bay Area Medical Group-Marinette
  - Marinette、Wisconsin、美国、54143
    - Bay Area Medical Center
  - Marshfield、Wisconsin、美国、54449
    - Marshfield Medical Center-Marshfield
  - Marshfield、Wisconsin、美国、54449
    - Marshfield Medical Center
  - Menomonee Falls、Wisconsin、美国、53051
    - Froedtert Menomonee Falls Hospital
  - Milwaukee、Wisconsin、美国、53226
    - Medical College of Wisconsin
  - Milwaukee、Wisconsin、美国、53209
    - Aurora Cancer Care-Milwaukee
  - Milwaukee、Wisconsin、美国、53215
    - Aurora Saint Luke's Medical Center
  - Milwaukee、Wisconsin、美国、53233
    - Aurora Sinai Medical Center
  - Milwaukee、Wisconsin、美国、53210
    - Ascension Southeast Wisconsin Hospital - Saint Joseph Campus
  - Minocqua、Wisconsin、美国、54548
    - Marshfield Clinic-Minocqua Center
  - Neenah、Wisconsin、美国、54956
    - Surgical Associates of Neenah SC
  - New Richmond、Wisconsin、美国、54017
    - Cancer Center of Western Wisconsin
  - Oak Creek、Wisconsin、美国、53154
    - Drexel Town Square Health Center
  - Oshkosh、Wisconsin、美国、54904
    - Ascension Mercy Hospital
  - Oshkosh、Wisconsin、美国、54904
    - Vince Lombardi Cancer Clinic - Oshkosh
  - Racine、Wisconsin、美国、53406
    - Aurora Cancer Care-Racine
  - Racine、Wisconsin、美国、53405
    - Ascension All Saints Hospital
  - Rhinelander、Wisconsin、美国、54501
    - Ascension Saint Mary's Hospital
  - Rice Lake、Wisconsin、美国、54868
    - Marshfield Medical Center-Rice Lake
  - Sheboygan、Wisconsin、美国、53081
    - Vince Lombardi Cancer Clinic-Sheboygan
  - Stevens Point、Wisconsin、美国、54482
    - Marshfield Clinic Stevens Point Center
  - Stevens Point、Wisconsin、美国、54481
    - Ascension Saint Michael's Hospital
  - Summit、Wisconsin、美国、53066
    - Aurora Medical Center in Summit
  - Two Rivers、Wisconsin、美国、54241
    - Vince Lombardi Cancer Clinic-Two Rivers
  - Waukesha、Wisconsin、美国、53188
    - Aurora Cancer Care-Waukesha
  - Wausau、Wisconsin、美国、54401
    - Marshfield Clinic-Wausau Center
  - Wauwatosa、Wisconsin、美国、53226
    - Aurora Cancer Care-Milwaukee West
  - West Allis、Wisconsin、美国、53227
    - Aurora West Allis Medical Center
  - West Bend、Wisconsin、美国、53095
    - Froedtert West Bend Hospital/Kraemer Cancer Center
  - Weston、Wisconsin、美国、54476
    - Marshfield Medical Center - Weston
  - Weston、Wisconsin、美国、54476
    - Diagnostic and Treatment Center
- Wyoming
  - Cheyenne、Wyoming、美国、82001
    - Cheyenne Regional Medical Center-West
  - Cody、Wyoming、美国、82414
    - Big Horn Basin Cancer Center
  - Cody、Wyoming、美国、82414
    - Billings Clinic-Cody
  - Sheridan、Wyoming、美国、82801
    - Welch Cancer Center

参与标准

研究人员寻找符合特定描述的人，称为资格标准。这些标准的一些例子是一个人的一般健康状况或先前的治疗。

资格标准

适合学习的年龄

18年及以上 (成人、年长者)

接受健康志愿者

不

描述

预注册资格标准：

美国癌症联合委员会 (AJCC) 第 7 版诊断时的临床分期 T1-3 N1 M0 乳腺癌（新辅助化疗开始前）
没有炎症性乳腺癌
注册后 5 年内没有其他恶性肿瘤，但仅通过局部切除治疗的皮肤基底细胞癌或鳞状细胞癌或宫颈原位癌除外
所有患者必须在新辅助化疗开始前或最多 14 天后接受腋窝超声细针穿刺 (FNA) 或腋窝淋巴结芯针活检，以证明在诊断时有腋窝转移
* 注意：乳房内淋巴结活检不符合资格标准
在开始新辅助化疗之前，患者必须在诊断性核心活检中评估过雌激素受体、孕激素受体和 HER2 状态（通过免疫组织化学 [IHC] 和/或原位杂交 [ISH]）
* 注意：如果 HER2 状态尚未明确确定（即模棱两可/不确定），则患者不应入组
患者必须在手术前完成所有计划的新辅助化疗；不允许夹心化学疗法（即计划在手术后给予蒽环类药物/环磷酰胺或紫杉烷类化疗）；患者必须完成至少 4 个周期的新辅助化疗，其中包括基于蒽环类药物和/或紫杉类药物的方案，且没有乳腺或淋巴结疾病进展的证据
* 注意：只要进行了至少 4 个周期的新辅助化疗，就允许因毒性/不良事件而导致的延迟/剂量调整；超过 4 个周期的新辅助化疗 (NAC) 可由治疗肿瘤内科医师酌情决定
HER-2阳性肿瘤患者必须接受新辅助曲妥珠单抗，或曲妥珠单抗+帕妥珠单抗，或其他批准的抗HER-2疗法（全部或部分新辅助化疗方案）；疗法必须是食品和药物管理局 (FDA) 批准的靶向抗 HER2 疗法，但如果在机构审查委员会 (IRB) 批准的临床试验中进行，则允许使用其他疗法以及非曲妥珠单抗方案
在新辅助化疗完成时，所有患者的体格检查必须有临床阴性的腋窝（无大块淋巴结肿大）
* 注意：完成新辅助化疗后不需要进行腋窝超声检查；如果执行，其结果不会影响资格
新辅助化疗开始前不超过 8 周的新辅助内分泌治疗
无新辅助放疗
在新辅助化疗之前或期间，无需 SLN 手术/切除活检以病理确认腋窝状态
既往无同侧乳腺癌病史（浸润性疾病或导管原位癌 [DCIS]）；小叶原位癌 (LCIS) 和良性乳腺疾病是允许的
既往未进行过同侧腋窝手术，例如淋巴结切除活检或汗腺炎治疗
无既往或并发对侧浸润性乳腺癌病史；良性乳腺疾病；允许对侧乳房存在 LCIS 或 DCIS
患者不得怀孕或哺乳
* 注意：围绝经期妇女必须闭经 > 12 个月才能被视为不具有生育能力
东部合作肿瘤组 (ECOG) (Zubrod) 性能状态 0-1

术中注册/随机化标准：

乳房手术（肿块切除术或乳房切除术）和前哨淋巴结手术必须在最后一剂新辅助化疗完成后 56 天内完成
识别并切除最少 1 个哨兵节点和最多 8 个总节点（哨兵 + 非哨兵）；不允许外科医生或病理学家识别出超过 8 个淋巴结注意：没有可识别前哨淋巴结的患者将不会进行登记/随机化
在前哨淋巴结手术中至少切除了一个淋巴结（前哨或非前哨），并且在术中病理评估中确定了最大尺寸大于 0.2 毫米的转移
- 注：孤立的肿瘤细胞（转移小于或等于0.2 mm）将被视为淋巴结阴性疾病（N0i+）
- 注意：如果在最终病理学上，病理上看到超过 8 个淋巴结，则患者应停止研究
- 在注册/随机化之前不进行腋窝淋巴结清扫术 (ALND)
- 注意：在前哨淋巴结手术期间未发现阳性淋巴结（前哨或非前哨）的患者将不会进行注册/随机化，可以考虑讨论 NRG NSABP B-51/RTOG 1304 研究“随机化评估乳房切除术后胸壁和区域淋巴结 XRT 和肿块切除术后区域淋巴结 XRT 在新辅助化疗前记录为阳性腋窝淋巴结但在新辅助化疗后转化为病理阴性腋窝淋巴结的患者中的作用的 III 期临床试验"

术后登记/随机化标准：

对于未进行 ALND 且符合以下条件之一的情况：1) 无法/未进行前哨淋巴结的术中评估，最终病理学确定阳性淋巴结（前哨或非前哨）并有转移大于 0.2 毫米或 2) 术中评估认为阴性的淋巴结（前哨或非前哨）在最终病理学上发现呈阳性（转移大于 0.2 毫米）
乳房手术（肿块切除术或乳房切除术）和前哨淋巴结手术必须在最后一剂新辅助化疗完成后 56 天内完成；最终病理学上的阴性边缘（通过保乳或乳房切除术），其中阴性边缘被定义为墨水上没有肿瘤
至少有一个淋巴结（前哨或非前哨）在最终病理学上识别出最大尺寸大于 0.2 毫米的转移（对于未进行术中评估或为阴性且未进行完整清扫的病例）
前哨淋巴结手术过程中病理学家发现至少1个且不超过8个淋巴结（前哨淋巴结和非前哨淋巴结）被实际切除注：孤立的肿瘤细胞（转移小于或等于0.2 mm）将被处理作为淋巴结阴性疾病 (N0i+)
对于那些同时接受对侧乳房手术的患者，如果在对侧乳房发现浸润性疾病，则该患者不符合注册/随机分组的条件

学习计划

本节提供研究计划的详细信息，包括研究的设计方式和研究的衡量标准。

研究是如何设计的？

设计细节

主要用途：治疗
分配：随机化
介入模型：并行分配
屏蔽：无（打开标签）

手臂数量

武器和干预

参与者组/臂	干预/治疗
其他：第 1 组：ALND + 淋巴结放疗手术：对于随机接受腋窝淋巴结清扫术 (ALND) 的患者，建议进行完整的 I 级和 II 级清扫，至少切除总共 8 个淋巴结（SLN 和 ALND 一起）。不需要进行 III 级解剖，但可由外科医生酌情决定是否进行。如果切除的淋巴结（SLN 和 ALND 一起）少于 8 个，则患者将停止方案治疗。放射治疗：放射线被输送到前 3 个肋间隙中的乳房/胸壁、未分离的腋窝、锁骨上淋巴结和内乳淋巴结。治疗将在 5-6 周内每周进行 5 天。	程序：腋窝淋巴结清扫术 (ALND) 辐射：淋巴结放疗
其他：第 2 组：腋窝放疗和淋巴结放疗放射治疗：放射被输送到乳房/胸壁、全腋窝包括 I、II、III 级、锁骨上淋巴结和前 3 个肋间的内乳淋巴结。治疗将在 5-6 周内每周进行 5 天。	辐射：淋巴结放疗辐射：腋窝放疗

参与者组/臂

干预/治疗

其他：第 1 组：ALND + 淋巴结放疗

手术：对于随机接受腋窝淋巴结清扫术 (ALND) 的患者，建议进行完整的 I 级和 II 级清扫，至少切除总共 8 个淋巴结（SLN 和 ALND 一起）。不需要进行 III 级解剖，但可由外科医生酌情决定是否进行。如果切除的淋巴结（SLN 和 ALND 一起）少于 8 个，则患者将停止方案治疗。

放射治疗：放射线被输送到前 3 个肋间隙中的乳房/胸壁、未分离的腋窝、锁骨上淋巴结和内乳淋巴结。治疗将在 5-6 周内每周进行 5 天。

程序：腋窝淋巴结清扫术 (ALND)

辐射：淋巴结放疗

其他：第 2 组：腋窝放疗和淋巴结放疗

放射治疗：放射被输送到乳房/胸壁、全腋窝包括 I、II、III 级、锁骨上淋巴结和前 3 个肋间的内乳淋巴结。治疗将在 5-6 周内每周进行 5 天。

辐射：淋巴结放疗

辐射：腋窝放疗

研究衡量的是什么？

主要结果指标

结果测量	大体时间
浸润性乳腺癌无复发间隔期（IBC-RFI）大体时间：放射治疗完成后长达 8 年	放射治疗完成后长达 8 年

次要结果测量

结果测量	大体时间
总生存期大体时间：放射治疗完成后长达 8 年	放射治疗完成后长达 8 年
同侧/局部/区域浸润性乳腺癌复发 (ILR-REC) 大体时间：放射治疗完成后长达 8 年	放射治疗完成后长达 8 年

其他结果措施

结果测量	大体时间
如果同侧手臂的体积比其术前体积增加 10%，则会发展为手臂淋巴水肿大体时间：放射治疗完成后长达 5 年	放射治疗完成后长达 5 年
乳房淋巴水肿（BCT 患者）大体时间：放射治疗完成后长达 5 年	放射治疗完成后长达 5 年
辐射场的充分性，递送到锁骨上和腋窝淋巴结的剂量大体时间：放射治疗完成后长达 8 年	放射治疗完成后长达 8 年
残余癌症负担 (RCB) 大体时间：放射治疗完成后长达 8 年	放射治疗完成后长达 8 年

合作者和调查者

在这里您可以找到参与这项研究的人员和组织。

赞助

Alliance for Clinical Trials in Oncology

合作者

National Cancer Institute (NCI)

Canadian Cancer Trials Group

调查人员

学习椅：Judy Boughey, MD、Mayo Clinic

出版物和有用的链接

负责输入研究信息的人员自愿提供这些出版物。这些可能与研究有关。

一般刊物

研究记录日期

这些日期跟踪向 ClinicalTrials.gov 提交研究记录和摘要结果的进度。研究记录和报告的结果由国家医学图书馆 (NLM) 审查，以确保它们在发布到公共网站之前符合特定的质量控制标准。

研究主要日期

学习开始 (实际的)

2014年2月24日

初级完成 (估计的)

2031年1月31日

研究完成 (估计的)

2031年1月31日

研究注册日期

首次提交

2013年7月12日

首先提交符合 QC 标准的

2013年7月15日

首次发布 (估计的)

2013年7月17日

研究记录更新

最后更新发布 (实际的)

2026年8月31日

上次提交的符合 QC 标准的更新

2026年8月27日

最后验证

2026年8月1日

接受化疗的淋巴结阳性乳腺癌患者腋窝淋巴结清扫术与腋窝放疗的比较

一项比较腋窝淋巴结清扫与腋窝放疗在新辅助化疗后前哨淋巴结病呈阳性的乳腺癌患者 (cT1-3 N1) 中的随机 III 期试验

研究概览

地位

条件

干预/治疗

详细说明

研究类型

注册 (实际的)

阶段

联系人和位置

学习地点

参与标准

资格标准

适合学习的年龄

接受健康志愿者

描述

学习计划

研究是如何设计的？

设计细节

手臂数量

武器和干预

参与者组/臂

干预/治疗

研究衡量的是什么？

主要结果指标

结果测量

大体时间

次要结果测量

结果测量

大体时间

其他结果措施

结果测量

大体时间

合作者和调查者

赞助

合作者

调查人员

出版物和有用的链接

一般刊物

研究记录日期

研究主要日期

学习开始 (实际的)

初级完成 (估计的)

研究完成 (估计的)

研究注册日期

首次提交

首先提交符合 QC 标准的

首次发布 (估计的)

研究记录更新

最后更新发布 (实际的)

上次提交的符合 QC 标准的更新

最后验证

更多信息

与本研究相关的术语

其他相关的 MeSH 术语

其他研究编号