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HomeAnswersMedical oncologybreast cancerHow to cure breast cancer with bone and liver metastasis?

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


The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At March 19, 2023
Reviewed AtOctober 12, 2023

Patient's Query

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 icliniq.com.

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.

Patient's Query

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 icliniq.com.

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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Anshul Varshney
Dr. Anshul Varshney

Internal Medicine

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