Patient 1: MDA
49-year-old when first seen by me. Underwent modified radical mastectomy, left, with deltopectoral flap om 2011 (5 years before at age 44) for a 12-cm invasive ductal carcinoma. Axillary nodes – 2/46 positive. Underwent postop chemotherapy – fluorouracil, adriamycin, cyclophosphamide then radiation. ERA / PRA – negative.
On consultation in 2016, multiple palpable nodules (recurrences) noted on the left chest area above the deltopectoral flap. Palpable node on the right supraclavicular area. Bone scan showed metastasis to left 2nd rib. Chest x-ray showed a pulmonary nodule. Ultrasound of the liver was negative for metastasis.
Another chemotherapy regimen (unknown) initiated by a medical oncologist – received 2 cycles. No response.
Patient died within one year after 2016 consultation with me.
To post more in the future.