Q. What are the tests to be performed before starting a chemotherapy in a breast cancer patient?

Answered by
Dr. Anshul Varshney
and medically reviewed by iCliniq medical review team.
This is a premium question & answer published on Mar 19, 2023

Hello doctor,

My mom is 67 years old. She has breast cancer with bone and liver metastasis. Liver cirrhosis is also present. She has a loss of appetite, cough with blood, and cannot sleep. I am worried because she is becoming weak. I have attached her reports for your reference. Kindly suggest.



Welcome to

I understand your concern. From the reports attached (attachment was removed to protect the patient's identity), the diagnosis is breast cancer with metastasis to the liver and bones. Also, I suggest a second diagnosis of primary liver cancer. I suggest you perform the following tests and consult an oncologist to start the treatment:

1. Mammogram (X-ray of the breast).

2. Serum alfa-fetoprotein test (tumor marker).

Thank you.

Hi doctor,

Thank you for your reply.

Mammogram is under combined reports on page 30. The doctors have started hormone treatment. Chemotherapy or other intervention for liver cancer is being discussed. She was taken to the hospital two days ago as she was weak and had a transfusion. Now, she is doing better. Kindly give your suggestions.



Welcome back to

I understand your concern. There are various chemotherapy drugs that regress the tumor with a good prognosis. She should not catch any infections, particularly respiratory tract infections. So, I suggest you discuss with your doctor the following vaccines:

1. Flu shot.

2. Pneumococcal vaccine.

3. Herpes Zoster vaccine.

I hope this helps you.

Thank you.

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