Cancer of right breast with single-liver metastasis-simultaneous treatment of chest wall with radiotherapy for carcinoma breast and SBRT for liver lesion: Procedural details of the complex procedure
K. Patro, Venkata Damodara, Rakesh Boyya, Chitaranjan Kundu, P. Bhattacharyya, V. Pilaka, S. Padhi, Mrutyunjayarao Muvvala, P. Reddy, V. Avidi, Mohanapriya Atchaiyalingam, Keerthiga Karthikeyan, A. Prabu, Aketi Srinu, P. Prasad, A. Kumar
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Abstract
Breast cancer with oligometastasis is not uncommon. Greater therapeutic advantage has been reported in various literatures with evolution of treatment technique. Here we report a case of ductal carcinoma right breast with a single metastasis to liver. This patient was treated with radical intent with chemotherapy, surgery, and then followed by radiotherapy to right chest wall along with stereotactic body radiotherapy for liver metastasis. Each treatment per se is not complicated. When radiation delivered to both chest wall and liver, the cumulative dose to liver is the main concern. Here we present the procedural details of this complex procedure.
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