Talk to Cancer - Oncology on Breast Cancer Relapsing To Ribs And Neck Bone
Asking for Mother, Female, 68 years old, Lahore
Breast cancer is relapsed and now going into ribs and neck bone. One doctor is saying biopsy is must to start the treatment. Bisopsy on the other hand is not possible. Are there any treatments that can start without doing biospy? and What doctor you can recommend?
Dr. Mariam Gul - Cancer Specialist / Oncologist
MBBS, D.M.R.T. (Medical Radio Therapy) | Karachi
Do you have breast biopsy report? If yes then you donot need any other biopsy. Treatment should be given right away. For further details must contact in person or online consultation. To answer your questions
Asst. Prof. Dr. Muhammad Nauman Siddique - Cancer Specialist / Oncologist
MBBS, Diplomate American Board of Hematology, Diplomate American Board of Internal Medicine, Diplomat American Board of Medical Oncology | Lahore
27 Positive Reviews
I would agree with biopsy in this case. Recurrent breast cancer can have a different biology and important markers such as ER, PR and her2neu should be rechecked. Before biopsy I would recommend a CT Scan to accurately determine the extent of disease and to help choose an appropriate site of biopsy. And the best doctor for you in this situation is a qualified Medical Oncologist.
Prof. Dr. Abbas Khokhar - Cancer Specialist / Oncologist
MBBS, FCPS (Medical Oncology), MD (USA), DHHM | Lahore
190 Positive Reviews
Previous as well as current labs would determine further management plan. In the age of 68 years and high suspicion of metastatic disease I would like to refrain from any invasive procedures.
in relapsed metastatic breast cancer and advanced age of the patient, she should be put on capecitabine tab. along with palliative radiation to painful areas of skeleton
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