General Internal Medicine

Breast Cancer

Questions discussed in this category

Would you start any treatment for radiation pneumonitis if there is a large area of consolidation in the irradiated lung field but the patient is asymptomatic?

Would you consider pentoxifylline and vitamin E to mitigate fibrosis?

2 Answers available

How would you approach a non-healing wound following lumpectomy for recurrent disease in a patient who underwent breast conservation therapy with radiation 10 years prior?

The patient had lumpectomy with standard radiotherapy to 50 Gy whole breast, followed by 10 Gy boost 11 years ago, and was recently found to have a sm...

1 Answer available

What is the best treatment for radiation recall skin reaction of the breast?

If a patient develops a new erythematous macular rash in the exact area of the prior radiation portal months following completion of RT without new me...

2 Answers available

How would you approach diagnosis of residual ovarian tissue in a patient with ER positive breast cancer, history of BSO, and a rising estradiol level on tamoxifen?

1 Answer available

How do you handle post-op, pre-radiation breast seromas and hematomas?

3 Answers available

Should we be utilizing prophylactic G-CSF in our patients with intermediate risk of febrile neutropenia due to the COVID-19 pandemic?

Are you placing more weight on patient risk factors such as age >65 or co-morbidities?

2 Answers available

Due to the thrombotic nature of COVID-19, should we be discontinuing tamoxifen temporarily in patients with an active infection?

1 Answer available

Is it possible to have diffuse, bilateral pulmonary fibrosis as a late side effect of unilateral radiation therapy for breast cancer?

3 Answers available

Would you clear a patient who completed treatment for breast DCIS to donate her kidney to her husband?

Germline genetic testing negative

1 Answer available

How would you approach a patient with a recent MI s/p DES who is being considered for neoadjuvant chemotherapy for TNBC?

2D Echo - Normal Ejection Fraction

1 Answer available

Should breast cancer patients with never-treated latent TB and for whom chemotherapy is indicated be treated for latent TB during chemotherapy?

2 Answers available

What is the preferred clinical management of hyperglycemia related to alpelisib?

1 Answer available

Are there any treatment related considerations in a patient with HIV who is on antiretroviral therapy and receiving adjuvant radiation for breast cancer treatment?

What if CD4 count was low?

1 Answer available

How do you decide which lab to use for multi-gene hereditary testing?

Is there a difference among all the commercial genetic testing labs? Is there anything beyond CLIA- and CAP-certification that we should look for...

1 Answer available

Should we be more concerned about cardiac toxicity following breast radiotherapy?

In a case-control study by Darby et al in the New England Journal of Medicine, patients treated for breast cancer with radiation were found to have an...

2 Answers available