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Is hypofractionation ever appropriate in women with early stage breast cancer and latent lupus who have never experienced skin symptoms in their lifetime?

Do you always stick with a conventional fracionation, or in some cases, are you comfortable hypofractionating? Do you ever use a wait and see approach, starting with hypofrac, and then decreasing dose/fraction if a bad reaction develops?
1 Answer
Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Cooper Medical School of Rowan University/Cooper University Hospital
Answered on

Short answer: Yes. I do offer HFRT to such patients. No. I would not advise a "wait-and-see" approach. Long answer: There are actually two categories of considerations here:

First, are you comfortable treating patients with autoimmune/collagen vascular disease (CVD)? If so, are you a "lumper" or a ...

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