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Re: Breast Cancer

From: Hannah (anonymous@obgyn.net)
Thu, 10 Apr 2003 14:09:55 -0400 (EDT)

Dear Navin-

Because I am a breast surgeon, and not an oncologist, I can only answer these questions in very general terms. In my experience, most oncologists would recommend the addition of radiation to the supraclavicular nodal basin when there is a breast cancer recurrence in the lymph node. Most oncologists would also do a workup, including bone scans, CT scans, etc to be sure this was the only recurrence. I am assuming you have had this done and your salvage protocol is based on that information. Re: the continuation of chemotherapy and what combination: that is best answered by your oncologist. You should be very specific in your questions as to which of the newest regimens-- and there are many--would be of most benefit, and also how much of a benefit you can expect to achieve relative to the risks of the chemo. Because so many new agents have come out in the last few years, and because very specific information is needed on your tumor (eg. markers, hormone receptors, and so on), it would be impossible to tell you which specific regimen would be offered to you. Take these issues to your oncologist. Good luck. Hannah Brooks, MD, FACS

------------------ Reply Separator -------------------- Originally From: "Navin Hadge" <navinhadge@hotmail.com> ------------------ Reply Separator -------------------- Subject: Breast Cancer ------------------ Reply Separator -------------------- Date: 04/09/2003 09:31am

I am a postmenopausal lady with recurrent breast cancer, had undergone modified radical mastectomy and adjuvant chemotherapy, recurred in the ipsilateral supraclavicular nodal area. I was recently on salvage protocol with mitomycin vinblastine and has achieved stable partial remission.

I would like to have opinion on following issues: 1) would I benefit from radiation to the supraclavicular area where she has recurred 2) would i benefit from continuation of further chemotherapy and what would be the most suitable combination.

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