breast oncology and palliative care Flashcards

1
Q

advantages of neo-adjuvant chemo

A

cosmetic - WLE instead of mastectomy

less extensive node clearance

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2
Q

disadvantages of Neo-adjuvant chemo

A

attendance for 6 extra imaging investigations

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3
Q

benefits of adjuvant radiotherapy

A

used after WLE
reduces recurrence by about half
save 1 life in every 4 recurrences prevented

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4
Q

how long does adjuvant radiotherapy normally last

A

3 weeks unless extra treatment (boost) needed

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5
Q

indications for boost radiotherapy

A

young age

positive margins

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6
Q

examples of adjuvant hormonal therapy

A

tamoxifen (ER blockade)

aromatase inhibitors (letrozole, anastrozole)

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7
Q

palliative care might include

A

systemic treatment for widespread disease

radiotherapy for fun gating breast disease or bone mets

bisphosphonates for bone mets

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