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Metastatic Breast Cancer
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HAMDI Djelloul
Jun 02, 2017
4 EC followed by 12 weekly paclitaxel seems to be reasonable for this patient with a high grade tumour
Vijay Devanhalli
Jun 04, 2017
Tumour size 2.9cms is T2. What is the indication for a PET-CT scan ?
mauricio chveid
Jun 05, 2017
I would never begin this case with Neo adj. Simply localized surgery followed by RTX. There is no any evidence of good results in term of FS or OS in cases like this. On contrary, the side effects are tremendous in this age, sometimes with very bad outcome.
N Cul
Jun 08, 2017
Comorbid conditions?
Life expectancy? Patient wishes? Family history?
Dragutin Donat
Jun 10, 2017
I agree with N Cul
João Campos
Jul 12, 2017
First surgery and after chemo with EC and taxane
Bharat Bhosale
Jul 25, 2017
agree with Surgery followed by adjuvant approach
if final histology Node negative TNBC reference TC x 6 cycles or AC x 6 cycles
ibra algo
Jul 26, 2017
18F–FDG-PET/CT revealed distant metastases in 14% OF stage IIb disease see Eur J Nucl Med Mol Imaging (2017) 44:1420–1427
Kavi Capildeo
Jul 26, 2017
In the non-trial setting in the community, neoadjuvant chemotherapy is not a common approach for a 2.9 cm breast cancer as most would be amenable to initial lumpectomy + axillary staging (SLNB if clinically negative axilla). Is this a borderline case for lumpectomy based on breast size/ tumor location? Would discuss with surgeon-- ideally in tumor board setting.
If neoadjuvant chemo were agreed upon and was not precluded by cardiac or other comorbidities, I would consider weekly paclitaxel x 12 followed by AC x 4 (would also consider this as adjuvant chemo if surgery done first). Radiotherapy would be indicated if breast conserving surgery is done.
Helidon Nina
Jul 30, 2017
If there are no comorbidity condition: Lumpectomy and LNSB, if the patient prefer conservative surgery following by radiotherapy. After final result of pathological finding, consulting with board tumor staff
N'DA MARCELIN HOMIAN
Aug 12, 2017
Lumpectomy+axillary node dissection aiming at free margins, adjuvant chemotherapy ( 3EC+12 weekly paclitaxel) based on pathologic findings, then radiation therapy.
Dec 23, 2024
Pending Moderator approval.
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HAMDI Djelloul
Jun 02, 2017
Vijay Devanhalli
Jun 04, 2017
mauricio chveid
Jun 05, 2017
N Cul
Jun 08, 2017
Dragutin Donat
Jun 10, 2017
João Campos
Jul 12, 2017
Bharat Bhosale
Jul 25, 2017
ibra algo
Jul 26, 2017
Kavi Capildeo
Jul 26, 2017
Helidon Nina
Jul 30, 2017
N'DA MARCELIN HOMIAN
Aug 12, 2017
Dec 23, 2024
Pending Moderator approval.