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How would you manage a patient simultaneously diagnosed with T2N1M0 triple negative breast cancer and T3N2M0 rectal adenocarcinoma?
What would be the optimal sequence of surgery, radiation, and chemotherapy for this patient? This patient has an excellent performance status and no other medical co-morbidities.
Answer from: Medical Oncologist at Academic Institution
That is a tough one. I would do the breast surgery first then shortly after do short course radiation to the rectal cancer. Then 1-2 weeks later start 4-6 cycles of dose dense FAC or FEC + Neulasta (to get some 5fu in) followed by the rectal cancer surgery. Then I would do radiation to the breast re...
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