The document contains medical recommendations for a patient with metastatic breast cancer. The cancer is progressing very slowly with minimal metastatic spread. The main issue is a mechanical problem with the T1 vertebra. If surgery is refused, focused stereotactic radiation is suggested. The oncology treatment plan includes continuing Letrozole, ovarian suppression, and Xgeva, with evaluations scheduled after 3 and 4 months of therapy.
documents/EFTA00587651.pdf
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