Get E-Book on COVID-19

Q. Kindly clarify if my mother's breast cancer treatment is right.

Answered by
Dr. Bharat Patodiya
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Nov 02, 2016 and last reviewed on: Oct 12, 2020

Hi doctor,

My mother, who is 55 years old, is undergoing chemotherapy for breast cancer T4 M1 (less than 5 mm non-avid in lymph node above lung) Nx, after mastectomy. She is HER2 positive and other two receptors are also positive. We have two different opinions in front of us from the two best oncologists here. The first opinion from our current oncologist is FAC 3 cycles (already given), Daxotel (3 cycles and second one is going on) and then to continue with Herceptin. The second opinion from another senior oncologist is that since she is HER2 is positive, the above regimen of the FAC and Daxotel is useless. She needs to start chemotherapy all over again with 6 cycles of Abraxane along with Herceptin. Otherwise, metastatic cells will spread soon to brain. The second opinion hit us and gave a big shock. She has just finished the task of chemotherapy and we hear that the drugs used were useless. I am here to know the reality of above and to seek an advice of which route we should take. Please help us.

Dr. Bharat Patodiya

General Medicine Internal Medicine Medical Oncology
#

Hi,

Welcome to icliniq.com.

I understand your plight.

Your mother seems to be in stage 4 and less likely 3. However, to give the benefit of doubt, I think that people has considered to give chemotherapy followed by response evaluation. If the result is favorable, then they may even opt for surgery (variable). In stage 4 hormone positive, we prefer to give the only antihormonal agent. In her case, anti HER2 therapy has to be added as she is positive for it. I will not suggest the second type of chemotherapy at this time if there is no obvious progression.

In my opinion you should continue with third dose and see the response on radio imaging. We may plan to continue anti HER2 with hormonal agents, while keeping her on close follow up. In less often scenario, if the response is phenomenal, then we may plan surgery. But, this will need further discussion. Do not worry, she should do well.

For further information consult a medical oncologist online --> https://www.icliniq.com/ask-a-doctor-online/medical-oncologist


Was this answer helpful?

 | 

Related Questions:
Is it right to have chemotherapy for stage IV invasive lobular carcinoma?
How to improve WBC count following chemotherapy?
If patient has metastatic breast cancer, what is the solution?

Related Video
 

This is a sponsored Ad. icliniq or icliniq doctors do not endorse the content in the Ad.

Consult by PhoneConsult by Phone Video ChatVideo Chat
Also Read Answers From:

Comprehensive Medical Second Opinion.Submit your Case

Related Questions & Answers


My father has severe diarrhea after chemotherapy for colon cancer. Please help.

Query: Hello doctor, My 43 years old father has colon cancer. He had undergone hemicolectomy laparoscopic surgery, and he is currently undergoing chemotherapy with Xelox (Oxaliplatin and Capecitabine). I am here to ask you about the side effects of chemo that my father is experiencing from the first cycle...  Read Full »

Also Read


Miscarriage
This article provides you with all the information that you should be knowing about miscarriage. Although this is an emo...  Read more»
COVID-19 Testing
COVID-19 testing includes analyzing patient samples to determine current or past infections with SARS-CoV-2. Read the ar...  Read more»
I feel a restlessness in my legs, which decreases my sleep quality. How to get a refreshing sleep?
Hello doctor, I cannot get refreshing sleep some days in a week, and some days it is good. I also have difficulty sleep...  Read more»

Ask your health query to a doctor online?

Ask a Medical Oncologist Now

* guaranteed answer within 4 hours.

Disclaimer: All health Q&As published on this website is not intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek the advice from your physician or other qualified health-care providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website.