Topics:
Breast Cancer • Radiation Oncology
In a patient who is planned for WBRT for multiple brain metastases but also needs breast palliation, do you favor breast radiation over palliative mastectomy?
Would you radiate concurrently with WBRT? How would you dose/fractionate in this situation?
Answer from: Radiation Oncologist at Community Practice
Why not concurrent?
30/10 to both. Can add a few more to breast, sometimes I go to 39 Gy/13 fx.
If not concurrent (why, though?), then just depends on which seems more bothersome. The breast has probably been there for quite a while, so perhaps address brain and then re-assess.
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Answer from: Radiation Oncologist at Academic Institution
Yes, I would favor breast radiation, and probably 30 Gy in 10 fx for both is reasonable, and I would offer it concurrently to save the patient time if your machine schedule allows. If this is her initial presentation, then the breast may improve with systemic therapy only. However, 30 Gy for a large...
Comments
Radiation Oncologist at Memorial Sloan Kettering Cancer Center
You could also consider alternative fractionation ...
You could also consider alternative fractionation ...
Radiation Oncologist at Karmanos Cancer Institute - McLaren Proton Therapy Center
In addition to 40 Gy in 3 weeks to the whole breas...
In addition to 40 Gy in 3 weeks to the whole breas...