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Suggest Treatment For Breast Cancer

Posted on Tue, 2 Sep 2014

Question: breast cancer, female, age 59, lump in the breast size >6cm, test results: ER3+PR3+CerB2(0)Ki67(10%)p53(0),nm23(3+)TOPOII(1%)CK5/S(0)FISH(0)
already has done 4 chemos, but the lump isn getting bigger, think maybe lots of fluid in the breast, should do mastectomy immediately or keep doing chemo?

Answered by Dr. Shanthi E (1 hour later)

Brief Answer:
do mastectomy

Detailed Answer:
Hi,

Do modified radical mastectomy, and then go for Chemo.

This should help you.

Let me know about your other queries.

Regards,

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Shanthi E (27 hours later)

If the chemo proved to be failure already since we used the largest possible portion, is there no necessary to use the same chemo med after the surgery? Thanks

Answered by Dr. Shanthi E (14 hours later)

Brief Answer:
alternative is radiotherapy/Herceptin

Detailed Answer:
Hi,

If the chemo has proved to be a failure, then radiotherapy is the alternative approach. Herceptin is another option as well.

Chemotherapy could be tried even before the surgery, if the patient responds well. But, in your case, it is not responding. Hence go for radiotherapy or Herceptin use.

Thank you and regards,

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Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar