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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Fourth Stage Terminal Breast Cancer Spreading To Liver, Lung, Bone, Lymph Nodes And Brain Curable?

Hello, My friend s wife was diagnosed with terminal breast cancer, stage 4 in december 2013, her cancer has spread to her liver, lung, bone, lymph nodes and her brain, she was undergoing treatment and has had a series of chemo in the last three months but her doctors say she hasn t responded well to any treatment, last sunday she had a seizure and fell unconscious and has been hospitalised now for over 10 days, she developed blood clots and the doctors treated her to release pressure in her brain, since yesterday she has been going unconscious and has been spitting blood constantly, they have two young kids and we are looking after them, need an honest answer on whether this is going towards her end please as we then need to get ready to deal with the situation and manage the kids, request you to please let me know what to expect, I do understand a straight answer is difficult without seeing the patient. Many thanks.
Tue, 20 May 2014
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Oncologist 's  Response
fourth stage breast cancer is not curable.
Since it is spread to her brain palliative radiation to brain is an option.
Tab dexamethasone 8 mg twice daily can be given.
Since chemotherapy has not worked the aim of treatment now is basic supportive care which will improve quality of life.
XXXX 500 mg thrice daily for 3 days then SOS may help for spitting of blood.
XXXX 100 mg thrice daily may also help for seizure.
XXXX 250 mg twice daily may help to release pressure in brain.

Regards
DR DE
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Is Fourth Stage Terminal Breast Cancer Spreading To Liver, Lung, Bone, Lymph Nodes And Brain Curable?

fourth stage breast cancer is not curable. Since it is spread to her brain palliative radiation to brain is an option. Tab dexamethasone 8 mg twice daily can be given. Since chemotherapy has not worked the aim of treatment now is basic supportive care which will improve quality of life. XXXX 500 mg thrice daily for 3 days then SOS may help for spitting of blood. XXXX 100 mg thrice daily may also help for seizure. XXXX 250 mg twice daily may help to release pressure in brain. Regards DR DE