breast oncology and palliative care Flashcards
advantages of neo-adjuvant chemo
cosmetic - WLE instead of mastectomy
less extensive node clearance
disadvantages of Neo-adjuvant chemo
attendance for 6 extra imaging investigations
benefits of adjuvant radiotherapy
used after WLE
reduces recurrence by about half
save 1 life in every 4 recurrences prevented
how long does adjuvant radiotherapy normally last
3 weeks unless extra treatment (boost) needed
indications for boost radiotherapy
young age
positive margins
examples of adjuvant hormonal therapy
tamoxifen (ER blockade)
aromatase inhibitors (letrozole, anastrozole)
palliative care might include
systemic treatment for widespread disease
radiotherapy for fun gating breast disease or bone mets
bisphosphonates for bone mets