How would you approach a young patient with ER+/Her2- bilateral breast cancer with a solitary bone metastasis?

Topics: Breast Cancer • Medical Oncology • HR+

Would you consider an aggressive approach with RT and/or surgery to the bone lesion and treat the primary as locally advanced breast cancer?

Answer from: Medical Oncologist at Academic Institution

I'm assuming from the question that this is a de novo Stage IV. Assuming a biopsy confirms metastatic breast cancer, I'd start such a patient on the appropriate endocrine therapy. I'd wait on considering loco-regional therapy until there has been a response. This reduces the risk of pursuing loco-re...

Comments

Medical Oncologist at Colorado Health Med Grp/Univ of Colorado Health
Great answer! Somewhat related to this.....I am w...

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