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Expert Opinion / Cases · April 29, 2019

Bilateral Breast Cancer

Aisha Alharbi

 

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  • luis betancourt

    Apr 30, 2019

    hormonal tx and re-evaluation in 2-3 months

  • hsien tang yeh

    May 03, 2019

    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

    May 03, 2019

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

  • surapong  supaporn

    May 03, 2019

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

  • Sewa Legha

    May 03, 2019

    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

    May 29, 2019

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

  • May 08, 2024

    Pending Moderator approval.
    Delete

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