my mother is 70 yrs dr removed her rt breast and axxilary level 1,2,3 shoud chemo safe for her

[japji]

we are confusing what to do

[kontak TeamBCI]

Hi Japji welcome to our forum - here you will find a moral support and answer to all your querries.

We all have gone thro the same stage. Do share more about her health status, has she any other problems - so that Doctors can guide you

[japji in reply to kontak]

THNX SHE IS a patient of high blood pressure.in 2012 she had asurgery of gall bladder

HPR

speciman TMAC

tumor type: idc grade 1

size :4*3*3cm

Dcis :10%

LVE :+

DRP & SKIN:FREE OF TUMOUR

LN:11/16

PERINODAL SPREAD (+)

ER:3+,>90%,8/8

PR:3+,10%,3/8

Her2 NEGATIVE(1+)

KI67:10%

WAITING FOR UR KIND ADVICE

[sumeet_shah Administrator]

Even though she has a grade 1 tumour, 11 out of 16 nodes in the axilla are positive, which means chemotherapy and radiation are ideally necessary. However, she needs to be assessed by a Medical Oncologist to see if she can tolerate chemotherapy. If she can, she must definitely undergo chemotherapy followed by radiation. Sometimes, in women above 70 in whom other problems are also there, milder forms of chemotherapy are given, so that side effects are less and we get some benefit.

I suggest you meet your Medical Oncologist and let her be assessed by him / her.

[psra in reply to sumeet_shah]

My spouse who is 70 has gone thru chemotherapy and radiation and will be having last dose( ie 17th) of Herceptine. By god grace she has been able to go thru it all without adverse effects .

[japji]

good morning sir

todAY WE ARE GOING TO PGIMER CHANDIGARH CAN WE REQUEST THE DR. TO DO FIRST PET SCAN AND AFTER THAT CHEMO

2)WHICH ONE IS BETTER PORT OR DRIP ?

CAN SHE TOLERATE ?

[roxboxfox RadiationOncologist]

Dear Japji,

Sorry to hear about your moms diagnosis.

She would need

1. Staging CT scan Chest Abdomen Pelvis ( if affording may do a PET scan)

A review by the Medical Oncologist at PGI Chandigarh will be helpful, and in all probability she may be advised Adjuvant Chemotherapy & Radiotherapy. She will also need Hormonal Manipulation treatment with Letrozole for 5 years after these former treatments.

As Sumeet rightly pointed out, the medical oncologist will take utmost precautions by getting few tests like 2D ECHO, ECG before deciding on the right chemotherapy and may suggest a moderate treatment and not be too agressive.

If you can afford the PORT, that makes life much easier for patients and i m sure there are few blogs/posts on PORT its advantages and disadvantages plus few patient experiences you ll find on this forum somewhere, but drip is also reasonable and straight forward provided the chemotherapy is attempted in a experienced high volume centre, where there are trained chemotherapy nurses who administer and cannulate you for 6 times (thats the number of cycle of chemo your medical oncologist may suggest).

Wish you and your mum,

All the best for the upcoming treatments to come !

hope it all goes smooth for her.

Dr Rohit Malde MD, DNB, FRCR (UK)

Consultant Clinical & Radiation Oncologist

BNH HCG Nanavati Superspeciality Hospital, Vile Parle, Mumbai

Apex Hospital (Mulund), mumbai

AIMS hospital (Dombivalli), Kalyan

[japji]

hello sir today we went there senior dr. was on a holiday. we request d dr. to first do pet scan after that go chemo but he said if pet scan is neccesary thn prescribe other wise not .now we will go there on tuesday

DR. PRESCRIBED --- chemo (FECX1+PA)

WHAT IS D DOSE OF CHEMO WHEN HER WEIGHT IS 68kg 630g and height is 5feet 3inch

[sumeet_shah Administrator in reply to japji]

Dose and all other things will be calculated by your oncologist. We understand your concern. But we wish you to know that we are here to help people cope up with chemo and other things. We cannot replace a doctor and it would be incorrect to make any medical comments without assessing patient. For three different patients with same age height and weight, the dose of chemo can be different. So just by knowing the height and weight, I cannot tell you the dose of chemotherapy.

My request henceforth is, please understand this is a support group. This is not a place for medical opinions or second opinions. We appreciate your concerns and advise you to take them up with your Oncologist.