What is your treatment approach in metastatic breast cancer with osseous metastases resulting in significant cytopenias?

Bone marrow metastases is not uncommon in metastatic breast cancer but, fortunately, it rarely causes dramatic cytopenias. So, if we come across a patient with cytopenias, we first perform a bone marrow biopsy to confirm the cause. If it is confirmed that metastatic breast cancer is the cause, then ...