WOMENS-HEALTH Messages for November, 2000: Re: Breast Cancer

Re: Breast Cancer

From: Lynn D. Montgomery, MD (anonymous@obgyn.net)
Thu, 30 Nov 2000 04:04:47 -0600 (CST)

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In reply to: JasonJones: "Breast Cancer"

At Thu, 30 Nov 2000, JasonJones wrote: >
>My wife was diagnosed with metastatic breast cancer 1 week after giving
>birth to our second daughter. The cancer is pervasive through the liver
>and the prognosis is dismal. Two weeks prior to delivery, my wife was
>taken to the E.R. for severe pain in the right side of her abdomen. My
>wife's and the baby's vitals were taken and she was sent home. No
>bloodwork or tests of any other kind were done.
>
>Given this limited description, can you tell me if this was an adequate
>course of treatment for my wife's symptoms?
>
>Also, isn't blood drawn and tested during pregnancy. Would these tests
>detect elevated liver enzymes and white blood cell counts? Would these
>tests reveal any of the chemical markers of breast cancer which has
>metasticized in the liver?

First, let me say that I am very sorry for your wife's breast cancer. With regard to the ER visit, it is impossible to comment on the care without having at least the record of care to review, and even then, it is not as good as being there for the presentation. Thus, I cannot comment on the appropriateness of that care. That said, if the ER presentation was two weeks prior to her delivery and the diagnosis was made three weeks later, one week following her delivery, and at that time, the disease was already spread to the liver, a detection at that ER visit would not have changed the prognosis. I am very sorry... Lynn

--
Lynn D. Montgomery, MD
Director, Maternal-Fetal Medicine
Rocky Mountain Perinatal Center
Missoula, Montana

**Note:  Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship.  This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions.

**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response.

**Thank you for your understanding ;-)

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