What is your preferred chemotherapy when dealing with hepatic visceral crisis in metastatic breast cancer?
Would you consider using CDK 4/6i over chemotherapy in ER+/HER2- mBC patients with hepatic visceral crisis?
Join Mednetto vote and see how they answered.
This, of course, depends on the cancer's subtype.
For patients with ER+/HER2- cancers, I would consider an initial trial of endocrine therapy and a CDK 4/6 inhibitor (and ovarian function suppression if the patient is premenopausal), based on results from the RIGHT CHOICE study presented at SABCS 20...
Join for free or sign in to see the full answer
This is a difficult scenario. I suggest the following:
- Rule out biliary obstruction and discuss prognosis (guarded). Palliative treatment is reasonable if the patient’s PS is 2 or less and she wants treatment.
- I usually use a combination of chemotherapy drugs (Cisplatin plus Vinorelbine) based on th...
Join for free or sign in to see the full answer
There is a lack of data around most chemotherapy agents when it comes to their usage in patients with significant liver dysfunctions/impairment, as these patients are routinely excluded from clinical trials. If there is severe liver impairment like bilirubin of > 5 mg/dL, it would be hard to recomme...
Join for free or sign in to see the full answer
In all comer patients with high-burden metastatic Breast Cancer (mBC), the efficacy of CDK4/6 inhibitors combined with aromatase inhibitors (AI) has shown longer PFS and OS in Hormone Receptor positive (HR+), Her2 negative (Her2-) breast cancer patients when treated with Endocrine Therapy (ET) compa...
Join for free or sign in to see the full answer