In light of the COVID-19 pandemic, would you consider SBRT for appropriately selected early stage breast cancer patients?
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2 AnswersMednet Member
Radiation Oncology · Abramson Cancer Center, University of Pennsylvania
No.
If I'm interpreting the question correctly, it poses using definitive/ablative SBRT in lieu of breast surgery. There is no high level evidence to suggest that this is as efficacious as initial surgery. Definitive breast SBRT is being very actively studied in many smaller Phase I/II.
While some ret...
Mednet Member
Radiation Oncology · Allegheny Health Network, Pittsburgh
I agree with @Dr. First Last.
I would not favor definitive SBRT, and instead would continue with neoadjuvant endocrine therapy with plan for delayed surgery. Outside of study, definitive SBRT is not a standard approach even in the current situation.
With respect to adjuvant radiation, it's important t...