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