My wife ( Age 35 yrs) is suffering from (Invasive Mammary Carcinoma ER/PR negative and HR2/new positive.Ki 67 30%. PET CT whole body Right breast Active lesion,size 2.7 cm and multiple Sub Pectoral and Rt axillary node Positive. Known site of Primary Malignancy. A few metabolically active Lymphadenopathy in ipsilateral axillary-subpectoral regions are likely metastic in nature.
Sir, kindly suggest me, Are these chemo -3 FEC Followed by 3 Docetaxel is suitable for patient.6 cycle than do surgery.
Another oncologist suggest - NACT is way to go forward- - as She is HR2/new Positive Ds. Ideal regimen would be Herceptin Coantaing (TCH) or AC followed by paclitaxel and Herceptin. but herceptin is very costly Around 50 thousand per Cycle ( 6 Cycles ) . so sir, very confused what to do now, between finance issue and patient.
Kindly suggest which option choose for suitable for patient.
Thanks, we are awaiting your kind reply.