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  • Stase Hom - TNBC

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    Rozen Ryuha
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    A 53-year-old woman presented with metastatic triple negative breast cancer with metastases to the liver and bones. She had undergone mastectomy and 8 cycles of chemotherapy previously. Her prognosis is poor as triple negative breast cancer is more aggressive and tends to have a higher grade than other breast cancers. The plan is to discharge her if her infection resolves, modify her chemotherapy as an outpatient, provide palliative care education, and give vitamin E to treat neuropathy.

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    Stase Hom - Tnbc

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    A 53-year-old woman presented with metastatic triple negative breast cancer with metastases to the liver and bones. She had undergone mastectomy and 8 cycles of chemotherapy previously. Her prognosis is poor as triple negative breast cancer is more aggressive and tends to have a higher grade than other breast cancers. The plan is to discharge her if her infection resolves, modify her chemotherapy as an outpatient, provide palliative care education, and give vitamin E to treat neuropathy.

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    26 views7 pages

    Stase Hom - TNBC

    Uploaded by

    Rozen Ryuha
    A 53-year-old woman presented with metastatic triple negative breast cancer with metastases to the liver and bones. She had undergone mastectomy and 8 cycles of chemotherapy previously. Her prognosis is poor as triple negative breast cancer is more aggressive and tends to have a higher grade than other breast cancers. The plan is to discharge her if her infection resolves, modify her chemotherapy as an outpatient, provide palliative care education, and give vitamin E to treat neuropathy.

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    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
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    of 7

    STASE HOM

    Metastatic Triple Negatif Breast Cancer


    PADA KASUS :
    • Jaringan PA post
    Mastektomi: Carsinoma
    ductal and lobular
    infiltratif
    • Riwayat Kemoterapi 8x
    dilanjutkan Xeloda
    • Metastasis liver
    • Metatasis tulang
    • CALGB-40603 (NCT00861705), evaluated
    the benefit of carboplatin added to
    paclitaxel or adriamycin plus
    cyclophosphamide chemotherapy in the
    neoadjuvant setting.
    Prognosis
    Three common
    features of triple-
    negative breast cancer:
    • Triple-negative breast
    cancer is considered
    to be more
    aggressive and have a
    poorer prognosis
    than other types of
    breast cancer,
    • It tends to be higher
    grade than other
    types of breast
    cancer,
    • It usually is a cell type
    called “basal-like.”

    Cancer Network, 2017


    Sintesis Stase
    • S: Wanita 53 tahun, tegak terdiagnosis Carsinoma Mamae Stadium IV sejak 2017.
    Saat ini mengeluhkan sesak nafas dan batuk
    • O:
    Jaringan PA post Mastektomi: Carsinoma ductal and lobular infiltratif
    Metastasis liver
    Metatasis tulang

    Assessment:
    • Triple Negatif Breast Cancer Stadium IV Metastatic bone and liver

    • Plan:
    • Rencana discharge planning jika problem infeksi teratasi
    • Regimen kemoterapi disusun ulang via rawat jalan
    • Edukasi paliatif care
    • Pemberian Vitamin E 400 iu/ 12 jam PO untuk Neuropati

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