I am diagnosed with BC stage 3a, multiple lymph nodes positive, T2N2M0, ER/PR -ve, HER2 +ve, 36 years old, no history on maternal side, no sisters, potential history on paternal grandmother side, no heart disease history, 2 young kids, healthy.
Underwent lumpectomy and axillary clearance. Going to the next stage in the process - I am confused between the different chemotherapy options - primarily TCH (dr. Radheshyam, HCG, bangalore) vs. ACT-H (recommended by Dr vineet gupta, sakra, bangalore). Based on my research, the heart related issue seems to be one problem with ACT-H and also the side effects seem potentially more profound. This doctor recommends AC every 2 weeks for 4 cycles and Paclitaxel every week for 12 weeks with Herceptin every 3 weeks. The Paclitaxel seems very aggressive and not sure about it.
However, the fact that Herceptin can be started right away with TCH routine seems to be logically making sense, but there is a few percentage points difference in recurrence between the two...
- Can you please provide any other good (cost is not concern) medical oncologist recommendation in Bangalore?
- Can you share your opinion of TCH vs ACT-H regimen?
Your timely inputs will be beneficial...
Thanks so much,