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Doctor insights on: Stage Iv Metastatic Breast Cancer And Malignant Pleural Effusion

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Stage IV metastatic breast cancer and pleural effusion. What is treatment?

Stage IV metastatic breast cancer and pleural effusion. What is treatment?

It depends: Breast cancers come in many "flavors", and this will determine the treatment. Usually it's a form of chemotherapy given by mouth or by vein. Xeloda is given by mouth, and there are many intravenous chemotherapies. Sometimes hormone blocking medications are very effective if the cancer has the estrogen or Progesterone receptor on its surface. Herceptin is useful if it has her2 on its surface. ...Read more

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Dr. Umesh Patel
36 years in practice
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Dr. Sue Ferranti
571 doctors shared insights

Fluid In The Lungs (Definition)

Fluid around lungs has many causes. It can be exudate(thick i.E pus from infection, malignancy etc) or transudative(heart failure). It may be treated based on the problem found by sampling(thoracentesis). Labs on the fluid help the clinician determine the etiology. For recurring pleural fluid, sometime pleuradesis is necessary to hep prevent recurrance. Need ...Read more


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My mother, 77, was recently diagnosed w Stage IV lung cancer w malignant pleural effusion. She started spitting up yellow bile. Is it spreading?

My mother, 77, was recently diagnosed w Stage IV lung cancer w malignant pleural effusion. She started spitting up yellow bile. Is it spreading?

This cancer: has poor prognosis. I think she might be coughing sputum, not bile, and she might have a pneumonia. Take her to her doctor for proper diagnosis and treatment. ...Read more

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Dr. Umesh Patel
36 years in practice
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Do people with stage IV metastatic breast cancer often undergo chemo?

Do people with stage IV metastatic breast cancer often undergo chemo?

Yes.: Under certain circumstances hormone therapy might be the initial treatment, but most stage 4 patients eventually undergo chemotherapy treatment. This will depend on age, tolerence for treatment, hormone responsiveness and other tumor characteristics. ...Read more

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What to do if I have triple negative metastatic breast cancer stage iv?

What to do if I have triple negative metastatic breast cancer stage iv?

Don't give up: For starters, find a good oncologist, preferably one who works within a multidisciplinary team and has access to clinical trials. There are too many variables to give you specifics but very likely you will be offered chemo. Depending on the circumstances, surgery or radiation may come to play. You had 3x- cancer before age 60 and fulfill criteria for BRCA testing. If positive (or even if not)... ...Read more

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I am stage 4 metastatic breast cancer. 1 yr ago it spread to ovaries and i had hysterectomy. Do i stil need to have yearly papsmears.

I am stage 4 metastatic breast cancer. 1 yr ago it spread to ovaries and i had hysterectomy. Do i stil need to have yearly papsmears.

Technically no: I am terribly sorry about your situation. Given that your original diagnosis of breast cancer had nothing to do with hpv or related changes to the cervix, and assuming that you always had normal prior pap smears, then you do not need to have annual pap smears. Obviously, you need pelvic exams at whatever interval your doctor recommended, though. ...Read more

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Dr. Umesh Patel
Board Certified
36 years in practice
327K people helped
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What are signs that someones body is shutting down due to stage 4 metastatic breast cancer?

What are signs that someones body is shutting down due to stage 4 metastatic breast cancer?

It varies: Advanced cancers lead to increasing impairment of mobility due to weakness, loss of weight or organ failure. Your doctor can help you more by checking the patient.And the reports of their burden of cancer. Anyone who is eating well and fully mobile, is not close to 'shuting down'. ...Read more

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What is metastatic breast cancer?

What is metastatic breast cancer?

Spread : This means that the cancer has spread to other areas outside of the breast. This is known as stage 4. With the use of modern chemotherapy, this disease can be controlled. I recommend you meet with your medical oncologist to determine options available for treatment. ...Read more

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What does metastatic breast cancer really mean?

What does metastatic breast cancer really mean?

Cancer has spread: Metastatic, or stage 4 breast cancer, means the cancer has spread into other places in the body. Breast cancer at this stage can be treated, sometimes for 10 or more years depending on the type, but it cannot be cured. ...Read more

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Malignant (Definition)

The term malignant can be used in several medical contexts, but is primarily used to describe cancers. More dangerous and disorderly than the benign growth of cells, malignant cells have developed genetic changes that can allow it to invade other tissues in an unregulated way. These tumors can later spread, or metastasize, to other parts of the body and ...Read more


Dr. Barry Rosen
1,208 doctors shared insights

Breast Cancer (Definition)

The breast is both a male and female organ. However its main function is in the delivery of milk to the newborn. Breast cancer occurs 95% of the time in women and 5% of the time in men. It is treated the same regardless of which sex it appears in. It comes in two forms invasive and non-invasive; distinction is important as ...Read more


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Dr. Umesh Patel
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