Too much Hairfall

[ghataksumita]

Hi. I was detected with TNBC in August, 2017- MRM was done in left breast with axial clearance 4/31 axillary lymph nodes were found affected after histo pathological test. T1N2 M0, ER, PR +, HER2+- Equivocal, FISH - Negative.

Post Surgery PET CT was reported to be without any abnormality..Had 8 cyles of Chemotherapy (4 EC+ 4 Paclitaxol) with 14 days interval which complted in Jan,2018.

During Radiation Therapy Planning Radiation Oncologist felt presence of one IMN to be little bit larger in first CT which has been found to be decreased in size after chemotherapy and she opined that one of the IMN was also affected and PET CT report was reviewed and revised with a comment that very less FDG activity has been noticed in one IMN.

20 cycles (15+5) of radiations were given which completed in 1st week of April, 2019.

Now on Letrozole 2.5, 6 monthly IV Zoledronic acid injection, .and regular clinical follow ups with annual mammogram and Bone Desity check up.in Tata Medical Centre, Kolkata.

But for last 1 month I am experiencing excessive hair loss which I experienced before detection of the disesase also. There might not be any correlation with the disease but I am little bit shaky about it. My LFT, Renal profile, TSH levels, Blood sugar level, Bone Dessity level, Ca Level are within normal range, Hb is 13.6 gm.

Oncologists in the forum are requested to kindly advise on such excessive hairfall.

[sumeet_shah Administrator]

1. Yours is not a TNBC (which you have mentioned) ; it is an ER positive cancer.

2. Hair fall long time after chemo is over has nothing to do with either the cancer or it’s treatment. Some people occasionally get a very mild, self limited hair fall on hormonal treatment. In your case, since it is significant, It will be helpful for you to consult a Dermatologist and find out some other cause.

[ghataksumita in reply to sumeet_shah]

Thank you so much Dr. Sumeet. I had two tumours in upper outer lobe each h 1cmx1cm.

[ghataksumita in reply to ghataksumita]

In left breast