How would you advise your patient about starting adjuvant breast radiation who has a planned vacation?
Would you rather they delay the start of treatment so that it was >3 months from date of surgery or have a break of several weeks during XRT? Assume this patient had neoadjuvant chemotherapy with partial response prior to surgery. Would your advice change if she had no response vs progression vs complete response prior to surgery? Would your advice change if she were ER positive?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Varian Medical Systems/Allegheny health network
Answered on
I would be reluctant to delay initiation of RT for that long in patients who had neoadjuvant chemo and lumpectomy.
No prospective study but retrospective data shows inferior outcome when RT is delayed beyond 8 weeks or so for patients who have NACT.
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