Breast Cancer

[devjha]

Breast Cancer
A 50 year old lady,post lumpectomy is diagnosed case of infiltrating ductal carcinoma of right breast,had complaints of lump in the right breast.
HPE of lumpectomy specimen showed approx. 4*4 cm irregular breast lump.Infiltrating ductal carcinoma.

past history of illness:  
patient underwent laproscopic intraperitoneal onlay mesh repair for recurrent  incisional hernia with excision of right breast lump was done 0n 19th march 2011.

Ultrasound Report:
Multiple small hypoechoic SOL's are seen in both lobes of liver.

whole body FDG PET CT SCAN:

multiple (atleast 10), FDG avid (SUV max :13),hypodense lesions are seen scattered in both lobes of liver , largest measuring approx. 1.5*1.2 cm in segment VI.

Whole body Bone Scan with SPECT CT:
no definite scan evidense of skeletal metastasis.

ER/PR:
ER   0/8    negative
PR   0/8    negative

what should be the best treatment for above please suggest as soon as possible..

[japdip]

I suppose this could be possible but the Oncologist and/or Surgeon will determine the cause of these lesions by some method of testing. I hesitate to say how likely that they will be due to cancer .... testing is needed for the answer here. This is fairly early in the process and I would think there will be indepth discussions with the Oncologist regarding the test results.   Kindest regards ......

[devjha]

sir may it possible that the lesions is not the cancerous....what r the chances...?

[japdip]

Speaking of the liver lesions .... Chemotherapy would certainly be part of the treatment plan. As to "removal" this depends upon the response to the drugs used. There is no way to tell in advance how the cancer (if this is present) will respond to any particular treatment.  Kindest regards .....

[devjha]

can it be removed by chemotherapy or what are  the chances of  removal of this type of cancer. suggest me the appropriate treatment.

[japdip]

We here cannot diagnose or recommend specific treatment for any condition. From the reports listed above it seems that the breast cancer may have metastasized to other organs in the body (liver) but there is no evidence that it has affected the bones. The ER/PR response of "negative" indicates that this cancer is a more aggressive type. Treatment will be advised by both Oncologist & Surgeon after correlating all the available information.   Kindest regards ....