How do you counsel an early stage breast cancer patient with lupus regarding decisions on radiation?

The data with lupus and RT is not consistent and most recent data suggest good tolerance to breast RT.

I have them continue on medication for lupus and counsel them that acute morbidity and late effects appear to similar although there is some chance it may be enhanced but not contraindication to RT...

I agree that patients with lupus, including active disease, can be treated with whole breast radiation. While theoretically hypofractionation can be used, I have treated these patients with conventional 2 Gy daily and have not treated with hypofractionation. They should be counseled that although th...

I agree with all of the above. I have treated many patients with CVD except for scleroderma also.