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Would you avoid radiation in a patient with breast cancer with active skin lupus?
In a patient with early stage breast cancer that would otherwise require radiation, would you recommend treatment if the patient has active skin lupus? Would you push for mastectomy if that would avoid radiation? What if the patient were on plaquenil? Would you hypofractionate? Would you avoid a boost?
I agree with the above thoughtful recommendations....
Partial breast if suitable (IMPORT low), 0r APBI (...