How do you manage a symptomatic primary breast tumor in a patient with metastatic disease?

It’s much harder to treat patients palliatively than to cure. The art of palliation generally requires weighing the acute and subacute toxicities of alternative treatments much more heavily and chronic toxicities less than we do for potentially curative care. It also requires assessing whether patie...

This is a prospective study showing excellence and durable palliation and favors this ultrahypfractionared 5 fraction approach with sequential or SIB boost

Chatterjee et al., PMID 36868522