What dose-fractionation schedule do you utilize to treat a locally advanced, symptomatic breast mass in a patient with metastatic breast cancer?  

Understanding that this is palliative treatment, I have used the hypofractionation schemes used in England and Canada.  If you believe that you can convert this to a toilet mastectomy, I deliver 50 Gy in 25 fractions.  I have used capecitibine or cisplatin, based on whether this is triple ...