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Expert Opinion / Cases · April 29, 2019

Bilateral Breast Cancer

Aisha Alharbi

 

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  • luis betancourt

    hormonal tx and re-evaluation in 2-3 months


  • hsien tang yeh

    under sona-guided FNA of axillary LN to prove metastasis indicated, as after neoadjuvant treatment, the axillary surgery option depends on pre-treatment and post-treatment condition,Ki 67 count also a predict factor as chemo or hormone be the first treatment.


  • Luca Licata

    Is there the possibility to enroll the patient in a neoadjuvant clinical trial with hormonal therapy and cdk4/6 inhibitors?


  • surapong  supaporn

    LuA; neo endocrine tx LuB, TC The node; should be bx


  • Sewa Legha

    This is a very high risk situation with bilateral Breast Cancer, with locally advanced disease on one side . Therefore she will need all modalities of treatment including chemo, endocrine therapy, surgery and most likey XRT at the end of systemic therapy.. As she will need both hormonal therapy and chemotherapy, these will need to be used sequentially. Since the neoadjuvant endocrine therapy experience is much more limited in comparison to neoadjuvant chemotherapy, I would recommend starting with Neoadjuvant chemo using a combination of 2 cytotoxic agents followed by local therapy (?bilateral mastectomy) and at the end using endocrine therapy as adjuvant therapy.


  • Oda Abushaban

    In rt axilla need for sentinel L N biopsy to confirm diagnosis


  • Sep 27, 2020

    Pending Moderator approval.
    Delete

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