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Nedra,
From all I've learned and read in my four yrs with brain mets, WBRT does not have a great track record of 'success' OR longevity of success when had....but the side effects afterwards are indeed damaging in the long term.
I've seen this talk of 'preventative radiation' (ie: WBRT) before... and it just nauseates me. For so many reasons. I pray it does NOT become sop in the future. Shame on them if it does.
However, I do hope that regular brain MRi's with contrast will become the sop for all Her2+'s. That only makes sense to me from all known risk factors.
As an aside, I am er+ pr- Her2+++ with brain mets.
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