Thank you for the prompt response. Now I understand that this case does not fall under the preventive setting because cancer is already diagnosed and surgery done.
I also understand that a medical oncologists opinion should be the final call for the doses. But oncologists are differing on the dose quantity. They agreed on the regimen & schedule but they differ on the dose [80 mg/m2 Vs 100 mg/m2].
Could you please give a neutral opinion for the dose [3 FEC + 3 Docetexal] based on following information -
Stage of cancer : 2
Size of tumor: 3.5 X 3 cm
Grade of tumor: 2
MRBB Score: 2+2+2 = 6
Metastatic tumor shows features of well differentiated duct carcinoma
ER/PR Status: Positive
4/23 Lymph nodes positive
Overall Health: Good [Please refer details in the last post]
Thanks & Regards
Amit
Dear Amit Purohit, Prevention would refer to treatment in a situation where there was a risk of disease and a treatment was given in order to prevent the disease from occurring. Treatment after surgery for breast cancer would be called adjuvant therapy. Adjuvant therapy is treatment given after surgery to try to prevent or minimize the growth of microscopic deposits of tumor cells that might grow into a recurrent tumor. There are several differing chemotherapy regimens/schedules that may be used as adjuvant treatment of breast cancer. Determination of the regimen as well as the dosage for the individual patient may vary according to specifics of the situation such as stage of cancer, tumor characteristics (size of tumor, grade of tumor, Her2 status, ER/PR status) the individual’s overall health. These specifics regarding dosage and regimen would best be discussed with the medical oncologist who will be treating the patient..