Info

🌱 來自: Clinical Pathway-of-breast cancer

Breast cancer main pathway

W/u

• CBC
• CEA, CA15-3
• Liver function test
• Chest x-ray
• Mammography
• Ultrasonography of both breasts
• Pathology review
• Ultrasonography of liver ***

Wide excision or Mastectomy

ALND or SLNB

N postive or negative ⊕ ⊖

• Node negative-of-Breast cancer main pathway😊
• Node positive-of-Breast cancer main pathway 😩
• Radiation therapy indications for mastectomy patients see page 6
  • all patient receiving breast conserving therapy (after chemotherapy)
• Hormone therapy if HR(+)
  • qv adjuvant endocrine therapy for breast cancer

1. Tamoxifen as the drug of choice. If intolerable side effect, consider aromatase inhibitor.
2. adjuvant Herceptin for patients with HER2 over-expression, node(-), tumor size > 1 cm, after adjuvant chemotherapy.
3. CMF x8 : optional for old-aged or with other co-morbidities. TC x6: optional for patient to avoid cardiac toxicity and want to omit anthracycline..