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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Stage 4 Breast Cancer

Hello, My mother has stage iv breast cancer, she was diagnosed about 6 years ago and after treatment everything was looking good, however last year she began suffering pain in her back and was continually misdiagnosed until august when it was confirmed that the breast cancer had spread to her bones, after extended periods on chemotherapy, in february this year she had to stop as it was affecting her Heart, since then she has started to suffer from nauesia and headaches and so she was given an MRI three days ago, today the results show she has LOTS of brain tumours, the biggest being 2cm so they are going to start radiation therapy. I am currently working away and in three weeks i am going to be home before going away for another month. Should I be planning to organise some time off work? Im worried that she will really start to go downhill quickly.
Wed, 16 Sep 2015
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Oncologist 's  Response
Good morning. Treatment in a case of metastatic breast cancer depends upon the receptor status and the areas of metastasis. Receptor status like ER PR and HER-2/nue rectpor. Depending upon the positive receptor, drugs are chosen. Similarly if the disease is only in the bones and breast, drugs acting on ER receptor like tamoxifen(oral drug) will help in early stage and no need for chemo in the beginning. IF HER-2 is positive then a targeted agent for HER-2 is added(trastuzumab drug). For bone strengthenng another agent like bisphosphonate or denosumab is added. So you need to know her receptor status before planning out the treatment. Radiotherapy will of course required for brain metastasis.
Regards
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Suggest Treatment For Stage 4 Breast Cancer

Good morning. Treatment in a case of metastatic breast cancer depends upon the receptor status and the areas of metastasis. Receptor status like ER PR and HER-2/nue rectpor. Depending upon the positive receptor, drugs are chosen. Similarly if the disease is only in the bones and breast, drugs acting on ER receptor like tamoxifen(oral drug) will help in early stage and no need for chemo in the beginning. IF HER-2 is positive then a targeted agent for HER-2 is added(trastuzumab drug). For bone strengthenng another agent like bisphosphonate or denosumab is added. So you need to know her receptor status before planning out the treatment. Radiotherapy will of course required for brain metastasis. Regards