Doctor insights on:
Stage Iv Metastatic Breast Cancer And Malignant Pleural Effusion
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 (trastuzumab) is useful if it has her2 on its surface. ...Read more
Cancer is a group of diseases that is characterized by uncontrolled cell growth leading to invasion of surrounding tissues that spread to other parts of the body. Cancer can begin anywhere in the body and is usually related to one or more genetic mutations that allow normal cells to become malignant by interfering with internal cellular control mechanisms, such as programmed cell death or by preventing ...Read more
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
My mother has stage 4 metastatic breast cancer. She's on faslodex (fulvestrant) evey 28 days. Is it ok if she gets the shot 5 days later than usual once. Day 33?
Talk to oncologist: She needs to speak to her oncologist about this. ...Read more
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
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
My mother, 77, was recently diagnosed w Stage IV lung cancer w malignant pleural effusion. She started spitting up yellow bile. Is it spreading?
It varies from years: The avergae survival of metastatic breast cancer patients is 2-3 years but it is highly variable and can range from 6 months to 10+ years! . Patients who have only one organ involved or if the cancer is limited to bones only tend to live for 4-5 years on an average. ...Read more
Variable: Stage 4 metastatic breast cancer can be controlled with chemotherapy in some. Some can live years depending on the individual's response to chemotherapy treatments. Others will not do as well, and each person is different. Discuss in more detail with the treating medical oncologist who can give better answers, knowing the patient and the specific details of the breast cancer. ...Read more
It is one of the goo: Xeloda (also called capecitabine) is one of the useful and commonly used drugs for patients with metastatic breast cancer. It is taken by mouth and fairly well tolerated drugs with no major nausea/vomiting associated with its use. It does cause some skin toxicities which are but a minor nuisance. ...Read more
Not necessarily: Lymph nodes are one aspect of evaluation for stage and treatment of breast cancer. It depends on size of breast cancer itself, number of lymph nodes involved, hormone status of the tumor, and dna testing can also help identify breast cancer risks. If the lymph node involvement is small, then there is little additioanl risk to the patient. There are many factors involved in assessing breast cancer. ...Read more
It depends: There is not a "best" treatment, as metastatic breast cancers are different. The best treatment will take into account past treatment, current symptoms, and the subtype of breast cancer (er, pr and her2 status) as well as the location of tumors. Usually chemo or biologic therapy is necessary. Alternative treatments like mushrooms may have anti-cancer effects, but more studies are needed. ...Read more
Consult with the american society of clinical oncology, and find a physician in india who is a member. Also your best bet is to look for physicians in a major university in a major city in india.
Other options is to reach out to indian physicians associations in north america for recommendations. ...Read more
Yes: Brain metastases are unfortunately common in patients with advanced breast cancer. ...Read more
My PTH is 130, calcium 8.5 I have metastatic breast Cancer w/mets to bones. What does the above mean?
Not related: Hi. I'm very sorry about your cancer. I hope treatment is going very well. Breast cancer can make a "hormone" related to PTH, but it cannot make PTH. The PTH-like cancer hormone causes hi blood calcium. Your low-normal calcium with hi PTH is called secondary hyperparathyroidism. Your PTH is hi to PROTECT you from LOW blood calcium. Causes: GI malabsorption, vit. D deficiency, kidney calcium leak. ...Read more
If I live beyond 5 years with bone only metastatic breast cancer, how long can the hormone therapy be taken?
Occurs when glandular cells lining the milk ducts and lobules of the human breast begin to grow in an unregulated manner. Often curable if found early and treated effectively with surgery, hormonal therapy, chemotherapy and targeted therapy, or a combination thereof. Early detection before the malignancy becomes large enough to be felt depends on mammography/sonography and MRI imaging of the breast ...Read more
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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