Monday, March 12, 2012

Breast Cancer: Fancy Gadget and Half A Million Ringgit Failed to ...

May (not real name) is a 39-year-old woman. In mid-2008 she delivered her child. Two months before delivery, she noticed the hardening of the left breast. The ultrasound showed nothing wrong. The doctor said that there may be swollen to the breast milk. Even if she breastfed her baby the breast remains hard. There was no problem with her right breast. She went to doctors order and all came to see the same conclusion ? no problem!

Utrasonograhy their breasts, on 1 December 2008 indicated diffuse inflammatory process. The left nipple was retracted. Conclusion: probably diffuse mastitis. A biopsy is recommended. Were performed after the biopsy showed no malignancy. Not satisfied, a Tru-Cut biopsy guided by 29th January 2009. The result showed proliferation of atypical cells, suggesting intra-ductal carcinoma. An open biopsy of the breast tumor confirmed invasive ductal carcinoma with high-grade intraductal carcinoma.

May have sought a second opinion from a doctor in a private hospital in Singapore. Histology slides were re-examined. It was concluded that this was a ductal carcinoma in situ, with the middle school comedonecrosis and infiltrating ductal carcinoma.

CT scan performed 31st January 2009 showed: a) no down payment metastataic in the liver, b) multiple rounded sclerotic lesions seen in the thoracic and lumbar spine as suspected metastatic lesions from c) a small nodule in the right upper lobe of the lung ? metastatic pulmonary nodules, probably. A bone scan confirmed bone metastases in the left shoulder blade, ribs and left three locations along the spine.

Histopathology showed report, cancer cells are immunopositive rerceptors for estrogen and progesterone. Oncoprotein HER2 is overexpressed.

May was advised to start chemotherapy immediately. The first chemo treatment began second February 2009. A pump was fitted to continuously 5-FU. Also received two doses of Navelbine, for each cycle of 5-FU. In addition, May was given Zometa for the bones. May received a total of 13 cycles of chemotherapy from February 2009 to October 2009.

At this point, I asked two questions:

First What the oncologist say about the chances of recovery? The answer was: The doctor said that there is no cure. The treatment was only able to control the problem.
Second You must have spent a lot for this treatment? The answer: Yes, more than 500,000 RM. That?s half a million ringgit ? is not it? Yes it is.

A scanner 27 April 2009 was: a) a solitary pulmonary nodule in the right middle lobe. This is less than 5 mm. He shows no change compared to the previous review, b) multiple sclerotic bone lesions. They have been noted in the previous analysis, CT.

May, after China went to a second opinion in May 2009. An analysis of the PET / CT was performed. Doctors in China have shown that the state had stabilized in May and there was no need for treatment.

A CT scan performed 12th October 2009 showed that the cancer had stabilized. But during the month of May from October 2009 complained headache, pain in the neck and shoulder area. The oncologist said that the pain had nothing to do with his cancer!

In October 2009, May has completed his chemotherapy treatment, 13 in Singapore.

In November 2009 May went to India for further processing with the Cytotron (Cytotron is the trade name of the device developed in India. It looks like an MRI machine, the rotational quantum number generator used magnetic resonance fields).

To have received one hour of treatment per day Cytotron. While the treated Cytotron, drove May to 5-FU regimen Navelbine (14 cycles) to receive. Treatment was planned for a total of 28 days, but after the 20th May Tretment began to cough and bad chest pain. The doctor said that this had to pneumonia and she was given antibiotics and cough syrup against. A radiograph showed a pleural effusion on the left (ie, fluid in the lungs). A week later, took the pain was bad and coughing every time shifted May A CT scan was ordered and revealed a pulmonary embolism (blockage of arteries in the lungs by a blood clot travels to the lungs to other body parts). May was placed on heparin, an anti-blood clotting.

Can to Malaysia in mid-December 2009 return. May began with back pain. His breath did not stop. She coughed as she moved. The oncologist said the cancer in Kuala Lumpur seemed stable and there was no hurry to continue with the chemotherapy, but pulmonary embolism had to be resolved first. May was prescribed warfarin. Their pulmonary embolism disappeared.

A PET scanner 23rd February 2010 showed stable results. The oncologist said no additional chemotherapy was necessary at this time. May but had continued to receive Bonefos (for bones). Also in May, started on tamoxifen early March 2010.

In June 2010 May from the left breast was hardened again. The oncologist does not believe that chemotherapy was necessary, but was invited to continue tamoxifen and Bonefos.

In July 2010, the color of the skin of her left breast was dark. A PET scan, 29 July 2010 indicated increased FDG avid activity, which could be an inflammatory process of tumor activity. He was also increased FDG uptake in the thymus. At this point, the oncologist suggested mastectomy.

On 2 September 2010, May their left breast removed. There were some wound infections after surgery, and it was to recover two months. Histopathology indicated high-grade infiltrating ductal carcinoma grade 2 with a few areas of ductal carcinoma in situ. Twelve of the 13 lymph nodes were completely infiltrated by malignant cells with infiltration into surrounding fat tissue in 4 knots.

On 20 October 2010, there was a slight swelling on the right breast of May in the vicinity of the nipple. Ultrasound of the right breast showed nothing wrong. May was prescribed antibiotics. Since there was no improvement, was a needle biopsy 27th Done in October 2010. The right breast tissue showed infiltrating ductal carcinoma.

The doctor suggested a mastectomy of the right breast. This would be followed by radiation therapy for left breast. It would also be a radiation of the breast has healed his right after the injury. Bonefos, Zometa is changed.

A PET scan is on 10 November 2010, showed an activity of cancer in bone lesions that were stable breast.The right to be active before. In this perspective, the oncologist suggested chemotherapy more.

May underwent three cycles of chemotherapy with a combination of 5-FU, epirubicin and cyclophosphamide (FEC) in collaboration with Zometa. The third cycle was completed FEC 14th January 2010.

As CA increased care in the picture

On 3 November 2010, we received this e-mail:

Hi Chris,
I am Don (not real name) and came across your site while searching for alternative cancer therapies. My wife was diagnosed with breast cancer stage 4 in February 2009. She underwent chemotherapy and mastectomy recently, a left chest. Unfortunately now her right breast is also affected. Last week, shows the biopsy that you are dealing with an invasive ductal carcinoma. Doctor suggests another mastectomy, but we are worried because we do not think he can help.
Can you help us? What is your treatment? Can I give you the review reports?
Hope to hear from you soon.

On 14 January 2011 was another e-mail:

Dear Chris,
I want to come to Penang to discuss and learn about my wife. I have the latest results of the scan with me. To see which days and times most convenient for you patient?

In fact, before these e-mails, Don came to our center collection of herbs, but do not take them because of lack of confidence. Then she began to receive their first chemotherapy treatment and suffered from severe side effects. She had headaches, nausea and dizziness.

Before receiving her second cycle of chemotherapy, chemo-May began to take our tea. Side effects of chemo seconds were reduced by about 50 percent. This creates confidence in our teas. Were at their third day of May cycle of chemotherapy, she felt better.

The war is not over yet ? maybe a ?surge? can begin

May was scheduled for more than three cycles of chemotherapy. This time the drugs are intended for the use of Taxotere plus Herceptin. May be once Herceptin indefinitely every 3 weeks (at least one year). May also Zometa is given once every three months.

From March 2010 until the end of July 2010 May was tamoxifen. According to the oncologist, there was a repetition has, tamoxifen was not effective. He believes, can, change to another drug ? the new generation aromatase inhibitor. But for the aromatase inhibitors to be effective, the patient must be going through menopause. So to achieve this goal, menopause, the oncologist suggested the removal of the ovaries in May.

Don (her husband) came to our center in Penang and we told the story above, 18 January 2011.
Comments:

First Had breast cancer ? fancy gadget, more than half a million ringgit

Most patients (especially those who have never undergone the experience with a family member to medical treatment for cancer) have the misconception that after the surgery / chemotherapy, the cancer will disappear. Unfortunately, this is far from true. Read the following two quotes.

Amy Soscia, a cancer patient said: There is no cure for metastatic breast cancer. It never goes away. They have just to move from treatment.

A prominent oncologist in Singapore wrote: Oncology is not like other medical disciplines, where good results are the norm. In oncology, even prolonging the service life of a patient for three months to one year as a success. The achievement of a cure, it?s like hitting a jackpot.

In a study entitled: in the end what matters most? A review of the clinical endpoints for advanced breast cancer (oncologist, January 2011, 16:25-35), Sunil Verma et al, wrote:

- Many new drugs are studied for the treatment of metastatic breast cancer (MBC), but few studies have a longer overall survival, the primary measure of clinical benefit in MBC demonstrated.
- Of the 73 Phase III MBC comment, surprisingly few studies a gain in overall survival (12%, n = 9) is shown.

In early May, the treatment they received was only told to control the situation ? and if so, where is the control? Nearly half a ringgit dollars have been spent, but May is not got better. In fact, her condition deteriorated. It is from the second phase of another battle, now that the cancer had spread to the other breast after it is removed. The war will continue. Based on the review article published in the oncologist a week ago, the overall survival benefit from chemotherapy could be an illusion.

Can not we take a lesson from the experience of May? Albert Einstein said: Insanity is doing the same thing over and over again and expecting different results.

Second Full commitment ? you really believe in herbs?

Not all patients who seek our help to come in what we believe. We are firmly in the words that follow it not for us, ?influence? on our way. It must be entirely your choice.

We are aware that, after thousands of ringgit on supposedly scientific, high-tech treatments made from the best minds in medicine are available, it is difficult to believe that could be some weeds by the roadside to help your cancer. To the educated mind, it seems that a big joke. So believe in what we do is an important ingredient for success. Earlier statistics showed that only 30% of those who come are really committed, or believe what we do.

Third Chemo-tea helped ? they gained more confidence

I told Don that I would write this story. Otto von Bismarck wrote: A fool learns from experience. A wise man learns from others? experiences. So the main purpose of writing this story is to share the experience of May with others ? perhaps those who are willing to learn, does not want to know the bitterness.
Some patients even before they believe the experience, but others need to experience before you can believe. There is a choice.

4th War on Cancer ? In a war, we never win!

Are tragic stories about the war breast cancer abound. But all is not lost. There are patients who have the courage to say ?No thank you chemo? Many of them lived to tell their stories fresh.

Source: http://www.tessendorf.org/breast-cancer-fancy-gadget-and-half-a-million-ringgit-failed-to-cure-her

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