At what heart dose would you prospectively refer a patient to cardiology due to anticipated long term risks?

Topics: Breast Cancer • Radiation Oncology • General Radiation Oncology • Cardiology

If a patient had prior breast conserving treatment and now has inflammatory breast disease, would you prophylactical send the patient to a cardiologist?

Answer from: Radiation Oncologist at Academic Institution

If a patient had prior BCT and now inflammatory, I would refer given the most likely plan for additional chemotherapy and RT. In general, I refer for cardiac oncology based on a combination of cardiac risk factors (HTN, DM, HLP), family cardiac history, anthracycline receipt, and cardiac dose (ex. ...

Comments

Radiation Oncologist at Karmanos Cancer Institute - McLaren Proton Therapy Center
Would you refer for proton therapy in this same si...

Radiation Oncologist at Cleveland Clinic
I think we need data beyond dosimetry when it come...

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