hi,
next is my last hospital report please I need your recomendations.
" A 36 year old patient, with metastatics Ca of Breast ( was previously treated with surgery and adjuvant chemotherapy , readiation, hormonal therapy) , recently with pleural effusion ( was treated with chest tube) was admitted for 5th Taxol treatment. In a CT which was performed 3 days before her admission, an enlarment of the encased pleural effusion is seen with a new encapsultaed effusion at the anterior aspect of the right lung. No other lesions were seen on CT ( no lesion in liver, bones, no fluid in the stomach) .
Due to progression during Taxol treatment the treatment should be changed . As there was progression on Tamoxifen and receptors for hormones are positive we recommend an aromatase inhibitor + GNRH analogs.
Due to pulmonary embolism - anticoagulation treatment was started and should be continued .
The patient is feeling generally well, PS-1, with no pain or respiratory compliants. She is dismissed with the following recomendations:
treatment as stated below - it is obsultely essntial that the FEMARA will be given together with the LNRH agonists for it to be effective as the patient is pre menaupausal .
Please come back to check up visit at the breast unit in our instiute next month 25/09/2008.
1. SC - CLEXANE 100 MG - 100MG x 1 -SC .
2. TBL - FEMARA 2.5 MG - 2.5 MG x 1 - PO .
3. VIA - LUCRIN DEPOT 3.75 MG - 3.75 MG .
my best regards
D_lady
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ICanDoThis Joined: Apr 2008 Posts: 534 |
Aug 28, 2008 08:57 am
ICanDoThis wrote:
Well, they are looking for a way to enhance the hormonal part of your treatment. This is something that several of the women on Recurrent and Metastatic Disease forum have done, and many of them have experienced excellent results. If I were you, I would also post your query there - those ladies are expert patients. From the report, they are looking for ways to cut down the estrogen in your system. LNRH agonists=Lupron or similar drugs that will put you into temporary menopause. Your docs may also discuss oophorectomy in the future, to make this condition permanent. Femara is one of three popular AIs, which work on only post-menopausal women. I don't know why they recommended Femara rather than one of the other 2 - that could be something you would discuss with your oncologist. I hope this helps. I'm so sorry you have to do this - the only thing I do know is that, compared to even a few years ago, there are so many more treatments available. And I keep seeing posts about 5, 10, 20 year survival. I hope that, for you, cancer becomes a manageable, chronic condition. {{{{{Hugs}}}}}}} Sue - Lucky to be Krista's Mom
Dx 12/28/2007, IDC, 1cm, Stage I, Grade 1, 0/3 nodes, ER+/PR+, HER2- |
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roseg Joined: Sep 2004 Posts: 7798 |
Aug 28, 2008 10:04 am, edited Aug 28, 2008 10:04 AM
by roseg
roseg wrote:
Who will administer the Lupron? When you are young it's really important that they get the timing of the shot right so that your ovaries are shut down. I would look into finding a Physician who seems like they know how to do this correctly. Otherwise, since you have metastatic cancer I would look into an opphorectomy. Then you won't have to get the shots and there won't be any chance that your cycle will get out of wack with the drugs. The Femera should be easier to tolerate than the Taxol. Probably you're feeling better with the pleural effusion drained? Rose
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D_lady Joined: Aug 2008 Posts: 7 |
Aug 29, 2008 01:44 am
D_lady wrote:
hi, Thank you ICanDoThis for your explaining and lovely reply, and thank you roseg for your nice advace I'll pass this topic to my doctor and come back . I realy do love this community and GREAT people in our forum. my best regards to all D_lady |
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