Would you ever consider SRS or WBRT in an asymptomatic pregnant patient with multiple brain metastases?
For a patient in the second trimester who wants to continue with the pregnancy, would you consider this? If so, what extra precautions would you take?
Answer from: Radiation Oncologist at Academic Institution
I agree with @Tony J. Wang that radiation can be deferred in an asymptomatic patient and should be considered. However, brain progressive brain metastases can be neurologically debilitating and radiation may need to be considered for a patient that is not delivering soon. The patien...
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Radiation Oncologist at Ohio State University James Cancer Center Agree with Dr Chao, although I without hesitation ...
Answer from: Radiation Oncologist at Academic Institution
I do not think there is a one-size-fit-all answer. I have come across several circumstances like so. For sure, one will need evaluation by high risk OB. I think it is also crucial to get input from her medical oncologist regarding the prognosis. The type of systemic therapy to be given also has...
Answer from: Radiation Oncologist at Academic Institution
I’d prefer deferring RT if possible to a pregnant patient. I’d want to know how far along the pregnancy is and whether there’s time to defer RT. For an asymptomatic patient I think it would be reasonable to defer.
Agree with Dr Chao, although I without hesitation ...