1. Posted by A Yahoo! Health User on Wed, Mar 18, 2009, 4:54 pm PDT

Dear Sir, Your timely help and valuable advise for will surely save a human life. Patient –Isha Kapoor female, 48yrs, married, resident of Ludhiana city -INDIA CA Breast diagnosed on 5th March 2005 Got operated for removal of breast lump & lymph nodes Report: Infiltrating duct carcinoma,grade 2 with associated fibrosis & Lymphocytic infiltrate.(2.5x2.2x1.5cm) Sentinel Lymphnode showed metastasis (1/1) other axillary lymphnodes are free,Level 1(0/10),Level 2&3 are free (0/6) ESTROGEN & PROGESTRON RECEPTER STUDY HPR: Infiltrating duct carcinoma,grade II Estrogen recepter:Positive (50% Cells positive) Prgestrogen Recepter: Positive (20% cells positive) BONE SCAN REPORT (As on 10/11/08) :- Increased uptake of radiotracer in L5 Hemi vertibra Left side posteriorly CT Scan Report: Ill defined cytic destructive area measuring 3x2x2cm (T,AP,CC) involving certain Lateral aspect of L-5 vertibra body. TREATMENTS GIVEN Radiotherapy/Linac, 14Nos. Sittings (11/11/08 to 28/11/08) Zoldronic acid inj. i/v given (monthly, wef 11/11/08 onwards) Femistra tabs.( OD ), Ginplex (OD),Lyco- 1 (OD), Shelcal 500(OD) Position: (As on 13/2/09) - CA-15.3=68.50 u/ml Physical position:- Fatigued feelings in whole body. 18f - FDG. PET CT study on 5th March,2009 - shows mixed lytic sclerotic lesion in the following bones- 1. L5 vertebra (with no significant fdg uptake- likely healed lesion), 2. Left ala of sacrum (with mild fdg uptake), 3. Sternum (with mild fdg uptake), Increased fdg uptake noted in left internal mammary node, Small pulmonary nodules with no significant fdg uptake noted ( One in right middle lobe, one in left lung upper lobes)- suspicious for metastasis. IMPRESSION- Scan features suggestive of metastatic disease involving above mentioned bones, left internal mammary lymph nodes and ? lungs. An earliest help and advise will be highly appreciated. With all regard Tewari, HK Email- tewarihk@yahoo.com

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