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AskedPublicly Submitted Question
3/30/2017I was recently diagnosed with Triple Negative IDC in my left breast and lymph node under my arm followed by another diagnosis of squamous cell anal cancer that is also in one lymph node in my groin that was revealed as a result of a CT/PET scan.

I am healthy. Not overweight. Have no family history other than Melanoma on my grandfather's side.

My oncologist is suggesting a 5-week protocol of:

Daily radition - M-F
daily Oral chemo of Zilodan (sp?)
And a chemo infusion at the beginning with another possibly at the end.

My team is hoping that in the process the breast cancer will also respond or at least be contained.

What we do after five weeks is still undetermined. I am told that we may have to take a break as this could deplete my bone marrow and make it impossible to do further chemo right away.

We mutually decided to attack the anal cancer first due to the possible quality of life issues that can result if this gets out of hand. Both cancers are of course critical issues.

What are your thoughts on this approach?
RepliedJHU's Breast Center Reply
3/30/2017request that your case be presented to both tumor boards--- breast cancer and colorectal tumor boards-- makes sense to tackle anal cancer first however given there is a positive node and the breast cancer is triple negative, perhaps the oncologists can identify some treatments that are effective on both at the same time.

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