a 39 yr old woman who underwent MRM 2 yrs ago now have a mass in ipsilateral supra clavicular region.previous pathology was IDC T1 N0 M0 GII triple negative and received 8 course of chemotherapy only.
new lesion biopsy showed IDC triple negative.
CT scan of thorax, abdomen and pelvic is normal .bone scan also is unremarkable.
Armpit level III dissection was done?
If not, drain the Level III and above Fossa Clavicular (FSC) followed by RTX in the armpit and FSC, followed by 4AC + 4T.
If so, it would empty the Fossa above Clavicular (FSC) followed by RTX in the armpit and FSC, followed by 4AC + 4T.
Hi
It depends on the chemo agents that she got before. There are other agents that you can use for chemo now. About the resection, I recommend PET scan for metastasis detection, if PET was negative and supraclavicular lymph node didn't respond to chemo , surgery may have a limited role for treatment .
Hi
PET/CT for saerching other sites of metastasis, then chemo (platinum, taxane containing) planning considering previous chemo regimen.
Dear Habibollah,
perhaps these papers interest you although they are not exactly to the point. Check also the references to Sean Szeja · Sandra Hatch' conference paper, they may better apply to your case:
Article Treatment outcome in breast cancer patients with ipsilateral...
Article Identification of a metabolic and canonical biomarker signat...
Article Treatment outcome in breast cancer patients with ipsilateral...
Conference Paper Outcomes associated with Adjuvant Radiation after Mastectomy...
Article Invasive ductal carcinoma (IDC), triple negative (TN) and in...
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