Topics:
Breast Cancer • Radiation Oncology
How would you manage an elderly patient with metastatic breast cancer with locally advanced bilateral primaries?
Assume the patient has bone only metastses and will be on hormonal therapy
Answer from: Radiation Oncologist at Academic Institution
It depends on symptoms. If no impeding skin breakdown, ulceration or pain/lymphedema, I will see how they respond on endocrine therapy.
If symptomatic, I will consider 30 Gy/10 fx using opposed tangents or in some cases with rapidly progressive disease 20 Gy/5 fx
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