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How do you manage patients who need radiation for synchronous locally advanced head and neck cancer and locally advanced breast cancer?
Would you recommend a mastectomy for her breast cancer in attempts to avoid RT? If the patient undergoes a lumpectomy or needs PMRT, would you address both sites at the same time?
Answer from: Radiation Oncologist at Community Practice
Have never done it but dont see any reason why RT if needed can't be addressed to both sites at the same time
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Answer from: Radiation Oncologist at Academic Institution
I would think treatment of the locally advanced head and neck should possibly be prioritized, although she can probably get her breast surgery as soon as possible. She should possibly preferably have a mastectomy and if she doesn’t have risk factors that mandate RT then she would be done with ...