CDK4/6 inhibitors and antibody-drug conjugates can be combined with SABR. Systemic therapy controls microscopic disease throughout the body while SABR eradicates visible metastatic sites. CDK4/6 inhibitors are typically continued around the SABR course. The exact sequencing is determined by the multidisciplinary team based on the patient's disease, systemic therapy response, and the sites being treated. This coordinated two-pronged approach is the standard strategy for appropriately selected oligometastatic breast cancer patients.
Written by Dr Swaroop Revannasiddaiah, MBBS (Bangalore Medical College, RGUHS), MD Radiotherapy and Clinical Oncology (Regional Cancer Centre, Shimla, Himachal Pradesh University), DM Medical Oncology (RGUHS, 2021), MRCP Medical Oncology (Royal College of Physicians, UK, 2017), ESMO Certified (2016), Thoracic Oncology Certification (University of Michigan, USA, 2017), Senior Consultant Medical Oncologist, NiSH Clinic, 48, 7th B Main Road, near Vinayaka Temple, 4th Block, Jayanagar, Bengaluru 560011. Phone: +91 9731174360.