What treatment would you offer for a patient with unresectable triple negative breast CA who remains unresectable after completion of dd AC-T?
Presuming that imaging does not show distant metastatic disease, what would you offer? What about if the patient were PD-L1 negative?
Answer from: Medical Oncologist at Academic Institution
If the patient was responding to treatment but maybe presented with a large mass and had an insufficient response to chemo to convert her to resectability, further chemotherapy with carboplatin, preferably in combination with another agent - and I wouldn't rule out using docetaxel, given the activit...
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Medical Oncologist Presumably, you have checked BRCA status. And, no ...
Answer from: Medical Oncologist at Academic Institution
We had a trial of platinum in combination with radiation therapy in this situation to improve local response. She may be eligible for clinical trials of novel treatments.
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Medical Oncologist Always an important option—explore available...
Answer from: Medical Oncologist at Community Practice
It depends on the clinical scenario. I am assuming that this question is based on that, with one more push of the response, the patient can be a candidate for local therapy. In this situation, I usually like to use gemcitabine and carboplatin, which provide a platinum-containing regimen. Most patien...
Answer from: Radiation Oncologist at Academic Institution
I defer to my colleagues, more knowledgeable in Medical Oncology, regarding systemic therapy options for this patient. Obviously, she is a prime candidate for breast and regional nodal irradiation. The breast dose will depend on the final tumor response and possible eligibility for a mastectomy (pre...
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Radiation Oncologist at Cleveland Clinic I would agree, I would consider 60-66 Gy to all gr...
Presumably, you have checked BRCA status. And, no ...