Breast Cancer: Fancy Gadget and Half A Million Ringgit Failed to Cure Her – What Now?

May (no longer actual name) is a 39-yr-antique-female. In mid-2008 she introduced her toddler. Two months before shipping, she observed the hardening of her left breast. Ultrasonography did no longer show anything wrong. The medical doctor counseled it may be due to the breast being engorged with her milk. Although she breast fed her baby the breast remained hard. There was no hassle together with her proper breast. She went to consult order doctors and all of them came to the same end – no problem! TransportbĂ„nd

Utrasonograhy of her breasts on 1 December 2008 indicated subtle inflammatory method. The left nipple become retracted. Conclusion: probable diffuse mastitis. A biopsy is really helpful. Subsequent needle biopsy performed did no longer show any malignancy. Not glad, a tru-cut biopsy turned into done on 29 January 2009. The result showed unusual proliferation of cells suggestive of an intra ductal carcinoma. An open biopsy of the breast lump showed invasive ductal carcinoma with excessive grade intra-ductal carcinoma.

May sought a second opinion from a medical doctor in a private hospital in Singapore. The histology slide became restudied. It changed into concluded that it turned into a ductal carcinoma in-situ, intermediate grade with comedonecrosis and infiltrative ductal carcinoma.

CT test executed on 31 January 2009 confirmed: a) no metastataic deposits within the liver, b) several rounded sclerotic lesions seen within the thoracic and top lumbar spine suspicious of metastatic lesions, c) a tiny nodule in the higher lobe of the right lung – probably a solitary pulmonary metastatic nodule. A bone experiment showed bony metastases at the left scapula, left third rib and sites alongside the backbone.

Histopathology file showed carcinoma cells are immunopositive for oestrogen rerceptors and progesterone receptors. HER2 oncoprotein is overexpressed.

May become recommended to begin chemotherapy immediately. The first chemo-remedy started out on 2 February 2009. A pump was fitted to constantly supply 5-FU. May additionally received two doses of Navelbine for each five-FU cycle. In addition, May changed into given Zometa for the bone. In total May obtained 13 cycles of chemotherapy from February 2009 to October 2009.

At this point I requested two questions:

1. What did the oncologist say about the possibilities of a treatment? The solution became: The medical doctor stated there could be no therapy. The remedy turned into only to govern the hassle.
2. You must have spent a lot for this remedy? The solution: Yes, about RM 500,000. That is half 1,000,000 ringgit – right? Yes, it’s miles.

A CT scan on 27 April 2009 showed: a) a solitary pulmonary nodule in the right middle lobe. This measures much less than five mm. It suggests no exchange from preceding exam, b) multiple sclerotic bony lesions. These had been already referred to inside the preceding CT test.

May went to China for some other opinion in May 2009. A PET /CT scan turned into executed. The docs in China concluded that May’s condition had stabilised and there has been no need for remedy.

A CT scan completed on 12 October 2009 confirmed the cancer had stabilised. However, at some point of the entire month of October 2009, May complained of headaches, pains in the neck and shoulder. The oncologist stated the pains had nothing to do together with her most cancers!

In October 2009, May completed her thirteenth chemo remedy in Singapore.

In November 2009, May went to India for in addition treatment the usage of the Cytotron (Cytotron is the exchange name of the tool developed in India. It looks as if a MRI system that uses Rotational Field Quantum Magnetic Resonance Generator).

May acquired an hour of Cytotron treatment in line with day. While undergoing the Cytotron treatment, May continued to obtain the 5-FU-Navelbine regimen (the 14th cycle). The remedy was scheduled for a complete of 28 days but after the 20 th tretment, May advanced terrible coughs and chest pain. The health practitioner concept this was because of pneumonia and he or she become given antibiotics and cough syrup. An X-ray indicated left pleural effusion (i.E., fluid within the lung). A week later the trials nonetheless endured and the coughs have become terrible each time May moved. A CT test become ordered and revealed pulmonary embolism (blockage of the arteries in the lungs with the aid of blood clots that travel to the lungs from different components of the body). May turned into put on Heparin, an anti-blood coagulation medicine.

May returned to Malaysia in mid-December 2009. May commenced to have pains once more. Her shortness of breath also persisted. She coughed anyplace she moved. The oncologist in Kuala Lumpur mentioned that the cancer seemed solid and there was no hurry to maintain with chemotherapy but the pulmonary embolism had to be resolved first. May became prescribed Warfarin. Her pulmonary embolism cleared off.

A PET CT scan on 23 February 2010 confirmed solid results. The oncologist said no similarly chemotherapy become vital for the time being. But May had to hold receiving Bonefos (for the bone). In addition May became commenced on Tamoxifen beginning March 2010.

In June 2010, May’s left breast hardened again. The oncologist did now not think chemotherapy became important but May was asked to maintain together with her Tamoxifen and Bonefos.

In July 2010 the pores and skin colour of her left breast grew to become darkish. A PET experiment on 29 July 2010 indicated extended FDG avid interest and this may represent an inflammatory manner of tumour hobby. There was also expanded FDG uptake within the thymus. At this point, the oncologist suggested a mastectomy.

On 2 September 2010, May had her left breast removed. There had been a few wound infections after the surgical treatment and it took two months to get better. The histopathology indicated invasive ductal carcinoma, grade 2 with some foci of ductal carcinoma in-situ, high grade. Twelve of the 13 lymph nodes were absolutely infiltrated by way of malignant cells with infiltration into the encompassing adipose tissue in four nodes.

On 20 October 2010, there was a slight swelling in May’s right breast close to the nipple. Ultrasonography of the proper breast did not display something wrong. May turned into prescribed antibiotics. Since there was no development, a needle biopsy turned into achieved on 27 October 2010. The proper breast tissue confirmed invasive ductal carcinoma.

The physician recommended mastectomy of the right breast. This would be accompanied by means of radiation treatment for the left breast. There could also be radiation treatment for the proper breast after the wound has healed. Bonefos could be changed to Zometa.

A PET experiment achieved on 10 November 2010 showed cancer activity in the proper breast.The bone lesions which have been stable before had now grow to be energetic. In view of this, the oncologist suggested extra chemotherapy.

May underwent 3 cycles of chemotherapy using a aggregate of five-FU, epirubicin and cyclophosphamide (FEC) together with Zometa. The third FEC cycle turned into completed on 14 January 2010.

How CA Care Got Into the Picture

On three November 2010, we acquired this electronic mail:

Hi Chris,
I am Don (now not actual call) and came throughout your website even as trying to find some alternative cancer remedies. My spouse changed into diagnosed with breast cancer stage four in February 2009. She had undergone chemo and simply lately did a mastectomy of her left breast. Unfortunately now her right breast is also affected. Last week the biopsy suggests it is an invasive ductal carcinoma. Doctor is suggesting another mastectomy however we are involved as we do not think it may help.
Can you assist us? How excellent is your treatment? Can I send you the reports for review?
Hope to pay attention from you soon.

On 14 January 2011 changed into another electronic mail:

Dear Chris,
I would really like to come to Penang and meet you to speak about regarding my wife. I have were given the latest experiment outcomes with me. What are the times and time handy a good way to see patients?

Actually earlier than those e-mails, Don got here to our centre to accumulate a few herbs however did not take them due to lack of self belief. Then she commenced to obtain her first chemo treatment and suffered severe facet results. She had headaches, felt nauseous and changed into dizzy.

Before receiving her 2nd cycle of chemotherapy, May started to take our Chemo-tea. The side outcomes of this 2d chemo treatment had been decreased by means of about fifty percentage. This built up her self assurance in our natural teas. When May had her 3rd cycle of chemotherapy, she felt even better.

The War Has Not Ended Yet – possibly a “surge” is pretty much to start

May was scheduled to acquire 3 extra cycles of chemotherapy. This time the drugs for use are Taxotere plus Herceptin. May is supposed to acquire Herceptin indefinitely once each three weeks (but at least a yr). May is also to acquire Zometa as soon as every three months.

From March 2010 to give up of July 2010, May turned into on Tamoxifen. According to the oncologist because there has been a recurrence, Tamoxifen changed into therefore not powerful. He is of the opinion that May need to switch to some other drug – the more moderen era of aromatase inhibitor. But for the aromatase inhibitor to be powerful affected person have to be in her menopause. So to attain this menopause, the oncologist advised removal of May’s ovaries.

Don (husband) got here to our centre in Penang and advised us the above story on 18 January 2011.
Comments:

1. The Breast Cancer War – fancy system plus 1/2 1,000,000 ringgit

Most patients (especially people who never had the revel in of getting a family member gone through clinical remedy for most cancers) have the misconception that once surgical procedure / chemotherapy, their most cancers will depart. Unfortunately, this is far from being genuine. Read the following two quotations.

Amy Soscia, a most cancers patient said: There isn’t any remedy for metastatic breast most cancers. It by no means is going away. You just pass from treatment to remedy.

A renowned oncologist in Singapore wrote: Oncology isn’t like other clinical specialties in which doing nicely is the norm. In oncology, even prolonging a affected person’s life for 3 months to a year is taken into consideration an success. Achieving a remedy is like hanging a jackpot.

In a overview entitled: In the End What Matters Most? A Review of Clinical Endpoints in Advanced Breast Cancer (Oncologist, January 2011; 16:25-35), Sunil Verma et al, wrote:

– Many dealers are being studied for the treatment of metastatic breast cancer (MBC), yet few research have demonstrated longer normal survival, the number one measure of scientific benefit in MBC.
– Of the 73 phase III MBC trials reviewed, a strikingly small share of trials confirmed a benefit in universal survival period (12%, n = 9).

From the very starting May changed into told the treatments she acquired were to best manipulate the situation – and in this case, in which is the control? Almost half of a million ringgit has been spent but May turned into now not getting any higher. In fact her situation became worse. She is beginning the second one segment of every other war now that the cancer had spread to the alternative breast, after one had been removed. The struggle will pass on. Based at the overview paper published in The Oncologist a week ago, the general survival gain due to chemotherapy should just be an phantasm.

Can we not analyze a lesson from May’s revel in? Albert Einstein said: Insanity is doing the identical component time and again again and anticipating different effects.

2. Total Commitment – do you absolutely accept as true with in herbs?

Not all sufferers who come to searching for our assist trust in what we do. We are company in announcing that It isn’t always for us to “affect” you to comply with our ways. This has to be totally your preference.

We are absolutely aware that after spending thousands of ringgit at the so-referred to as clinical, high-tech treatments supplied with the aid of the great brains in medicinal drug, it’s miles tough to agree with that some roadside weeds should help your cancer. To the knowledgeable thoughts it looks as if a huge joke. So believing in what we do is an important component for success. Past data showed us that handiest 30% of individuals who come are in reality committed or believe in what we do.

Three. Chemo-Tea Helped Her – she gained extra confidence

I instructed Don that I would be writing this story. Otto von Bismarck wrote: A idiot learns from revel in. A sensible guy learns from the revel in of others. So the principle goal of penning this tale is to proportion May’s revel in with others – possibly people who wish to study could now not have to experience comparable bitterness.
Some patients consider even earlier than they experience, however others want to experience earlier than they could believe. It is a desire.

4. Cancer War – In a warfare, no one ever wins!

Tragic memories about breast cancer war abounds. But all isn’t always lost. There are some sufferers who have the center to mention: “Chemo? No thanks!” Many of them survived to tell their candy tales.