| Chan, 56-year-old, is a non-smoker and does not | | | | 2006 showed no evidence of malignancy. An |
| drink any alcohol. She is a hawker doing business | | | | ultrasound of her abdomen done on the same |
| with her husband. Her father had liver cancer while | | | | day showed no evidence of liver metastasis. A |
| her mother had uterine cancer.Hip Bone Cancer | | | | bone scan was also done and indicated no sign of |
| Symptoms Chan had her menopause when she | | | | bony metastasis. Chan was asked to continue |
| was 52 years old. Three years later she had a 3 | | | | with Arimidex. The medical record on 7 |
| cm x 3 cm swelling in her right breast. She did not | | | | November 2006 indicated: “no lump felt in her |
| seek medical attention until six months later. | | | | breast and patient had no complaints.” |
| Smears from fine needle aspiration cytology | | | | Lung Cancer Secrets Revealed Click here |
| (FNAC) of the right breast lump showed clusters | | | | According to her daughter, in December 2006, |
| of malignant epithelial cells indicating ductal | | | | Chan started to have pains in her body. When she |
| carcinoma. On 14 April 2005, Chan proceeded to | | | | woke up she had difficulty walking. If she walked |
| have a mastectomy together with the removal | | | | for a short distance her heart-beat increased. |
| of 25 lymph nodes. Vascular and lymphatic | | | | Sometimes she wheezed. Chan continued to take |
| invasions were noted. The immunochemistry | | | | the Arimidex as directed (and she is still taking it |
| study indicated receptors for estrogen and | | | | as of this writing). |
| progesterone were positive, C-erbB2 was positive | | | | On 23 April 2007, Chan went to consult a |
| and p53 negative. The cancer was staged as | | | | specialist of a private hospital. She presented with |
| T4N2Mx. | | | | shortness of breath and palpitation. She was |
| Chan recovered well from her surgery. On 26 | | | | found to be anemic. Her blood works showed: |
| May 2005, she was started on her chemotherapy | | | | haemogloboin = 6.5 (normal 11.7 to 15.7), platelet = |
| with FEC (5-FU, epirubicin and cyclophosphamide). | | | | 28,000 (normal 150,000 to 400,000), ESR = 116. |
| She had a total of six cycles of chemotherapy. In | | | | Chan was given platelets. CT scan of her |
| addition, Chan received 25 radiation treatments. In | | | | abdomen and pelvis on 26 April 2007 showed her |
| January 2006, Chan was started on Arimidex | | | | liver was enlarged. There were numerous |
| (anastrozole,1 mg daily) and was asked to come | | | | hypodense nodules in both lobes of her liver. The |
| back to the hospital for check up every three | | | | radiologist concluded that these liver nodules |
| months. | | | | represented liver metastases most likely derived |
| A mammogram of her left breast on 23 April | | | | from the breast cancer. |