What are the tests to be performed before starting a chemotherapy in a breast cancer patient?

Question

Hello doctor,

My mom is 67 years old. She has breast cancer with bone and liver metastasis. Liver cirrhosis is also present. She has a loss of appetite, cough with blood, and cannot sleep. I am worried because she is becoming weak. I have attached her reports for your reference. Kindly suggest.

Answer 1

Hi,

Welcome to icliniq.com.

I understand your concern. From the reports attached (attachment was removed to protect the patient's identity), the diagnosis is breast cancer with metastasis to the liver and bones. Also, I suggest a second diagnosis of primary liver cancer. I suggest you perform the following tests and consult an oncologist to start the treatment:

1. Mammogram (X-ray of the breast).

2. Serum alfa-fetoprotein test (tumor marker).

Thank you.

Answer 2

Hi,

Welcome back to icliniq.com.

I understand your concern. There are various chemotherapy drugs that regress the tumor with a good prognosis. She should not catch any infections, particularly respiratory tract infections. So, I suggest you discuss with your doctor the following vaccines:

1. Flu shot.

2. Pneumococcal vaccine.

3. Herpes Zoster vaccine.

I hope this helps you.

Thank you.

What are the tests to be performed before starting a chemotherapy in a breast cancer patient?

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