3 doctors weighed in:

What should a person with breast cancer IV take after tamoxifen and aromasin. Arimidex femara or faslodex (fulvestrant)?

3 doctors weighed in
Dr. Liawaty Ho
Internal Medicine - Hematology & Oncology
1 doctor agrees

In brief: Treatment options

For stage IV breast cancer- if the cancer progressed after tamoxifen and aromasin- depending on several factors such as how much cancer burder, involvement to visceral organs, overall condition etc- the options would be- faslodex; combination of Aromasin (exemestane) and evorilimus ( based on recent randomized clinical trial) or chemotherapy.
Discuss further with your oncologist- which one for your case.

In brief: Treatment options

For stage IV breast cancer- if the cancer progressed after tamoxifen and aromasin- depending on several factors such as how much cancer burder, involvement to visceral organs, overall condition etc- the options would be- faslodex; combination of Aromasin (exemestane) and evorilimus ( based on recent randomized clinical trial) or chemotherapy.
Discuss further with your oncologist- which one for your case.
Dr. Liawaty Ho
Dr. Liawaty Ho
Thank
Dr. Steven Ginsberg
Internal Medicine - Hematology & Oncology

In brief: Chemotherapy?

If stage IV breast cancer is no longer responsive to tamoxifen or exemestane, it is unlikely that additional hormonal therapy would be of benefit.
The next form of systemic therapy should probably be chemotherapy. If the cancer is her2/neu positive, either chemotherapy with trastuzumab (herceptin), or trastuzumab alone could be given.

In brief: Chemotherapy?

If stage IV breast cancer is no longer responsive to tamoxifen or exemestane, it is unlikely that additional hormonal therapy would be of benefit.
The next form of systemic therapy should probably be chemotherapy. If the cancer is her2/neu positive, either chemotherapy with trastuzumab (herceptin), or trastuzumab alone could be given.
Dr. Steven Ginsberg
Dr. Steven Ginsberg
Thank
Get help from a real doctor now
Dr. Peter Kurzweil
Board Certified, Internal Medicine
47 years in practice
16M people helped
Continue
108,000 doctors available
Read more answers from doctors