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Fourteen months after the initial curative surgery, when the patient was 73 years of age, multiple metastases were observed in the lungs, liver, and bones, thyroid gland, and subcutaneous tissue; we accordingly initiated nivolumab treatment.
Our case differs from the typical scenario: (1) It was diagnosed in an old patient and had an aggressive course, and (2) multiple metastases were present at the time of surgery.
In the present case, after multiple metastases were diagnosed, the patient was treated with aromatase inhibitor therapy, bisphosphonate therapy, and chemotherapy such as paclitaxel and epirubicin, and she survived for 5 years.
In this patient, even if her breast cancer metastases were diagnosed before cholecystectomy, this knowledge might not have been useful in guiding the clinical decision-making process because multiple metastases were detected on FDG-PET only 2 weeks after the surgery.
Multiple metastases were also seen in our patient.
> Lung multiple metastases were found in 3 patients (11.5%) at diagnosis.
Similar(50)
How should multiple metastases be assessed?
The proportion of patients with multiple metastases was 50 75% in 21 regimens.
Patients presenting with multiple metastases are generally treated with whole-brain irradiation alone [ 2].
In 2003, a splenectomy for multiple metastases was performed and the patient was then reinduced with C-Vax vaccine.
The presence of multiple metastases was also carefully recorded at the time of diagnosis of the first metastases as well as after the complete follow-up.
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CEO of Professional Science Editing for Scientists @ prosciediting.com