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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Need opinion on treatment course for my wife for invasive

Answered by
Dr.
Dr. Monish De

Oncologist

Practicing since :2004

Answered : 2233 Questions

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Posted on Wed, 27 Mar 2019 in Cancer
Question: Need opinion on treatment course for my wife for invasive right breast carcinoma, no special type (NST), grade III - ER: Positive (90% of tumour cells show nuclear staining with strong intensity, Allred score 8/8).PR: Positive (70% of tumour cells show nuclear staining with strong intensity, Allred score 8/8).
HER2/neu (Ventana): Positive (Score 3+)

12 weeks' Chemotherapy completed with good results. Right breast radical mastectomy performed with good healing, 4 weeks AC therapy completed, 15 fractions IMRT scheduled from next week. Further 14 cycles of Herceptin (trastuzumab) is advised.

I want to take opinion if the treatment protocol followed is on correct lines. How do we know if the disease has not spread further after radiation therapy is completed and trastuzumab is started. Any particular tests to undergo and signs to note, precautions to be taken.

Also, I have attached a biopsy report done after surgery. Can you interpret how is it. The doctor mentioned sampling was good.
doctor
Answered by Dr. Monish De 6 hours later
Brief Answer:
Blood tumour markers

Detailed Answer:
Hi

I have gone through your history and biopsy report.

You are having breast cancer and your treatment is in the right path

After chemotherapy and radiotherapy to asess the diseses status blood for breast tumour marker CA 15.3 and CEA can be done along with Pet ct scan
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Monish De 16 hours later
Thanks for the response.
doctor
Answered by Dr. Monish De 4 minutes later
Brief Answer:
Close the thread

Detailed Answer:
Hi

If u have no more queries please close the thread

Regards
Above answer was peer-reviewed by : Dr. Kampana
doctor
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The User accepted the expert's answer

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