Would you avoid radiation in a patient with breast cancer with active skin lupus?
In a patient with early stage breast cancer that would otherwise require radiation, would you recommend treatment if the patient has active skin lupus? Would you push for mastectomy if that would avoid radiation? What if the patient were on plaquenil? Would you hypofractionate? Would you avoid a boost?
1 Answer
Mednet MemberInvited Expert
Radiation Oncology · Allegheny Health Network, Pittsburgh
Answered on
In a patient with active skin lupus, I would counsel regarding the risks of radiation toxicity based on data available. Based on previous encounters, most patients after discussion of risks/benefits pursue mastectomy.
If the patient still wanted to pursue BCT, I would discuss with their rheumatologi...
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