Mednet Logo

Would you ever consider SRS or WBRT in an asymptomatic pregnant patient with multiple brain metastases?

For a patient in the second trimester who wants to continue with the pregnancy, would you consider this? If so, what extra precautions would you take?
Community PollStarted

Would you ever consider SRS or WBRT in an asymptomatic pregnant patient with multiple brain metastases?

45 physicians have voted

Join Mednetto vote and see how they answered.

3 Answers
Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Cleveland Clinic
Answered on

I agree with @Dr. First Last that radiation can be deferred in an asymptomatic patient and should be considered. However, brain progressive brain metastases can be neurologically debilitating and radiation may need to be considered for a patient that is not delivering soon. The patient will need to ...

Join for free or sign in to see the full answer

Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · University of Washington School of Medicine
Answered on

I do not think there is a one-size-fit-all answer. I have come across several circumstances like so. For sure, one will need evaluation by high risk OB. I think it is also crucial to get input from her medical oncologist regarding the prognosis. The type of systemic therapy to be given also has to b...

Join for free or sign in to see the full answer

Mednet Member
Mednet MemberInvited Expert
Radiation Oncology · Columbia University Irving Medical Center
Answered on

I’d prefer deferring RT if possible to a pregnant patient. I’d want to know how far along the pregnancy is and whether there’s time to defer RT. For an asymptomatic patient I think it would be reasonable to defer.

Join for free or sign in to see the full answer