Breast 2



45 year old female with a history of breast cancer from 2000. The patient was diagnosed with infiltrating ductal Breast Cancer in December of 2000. The patient had a lumpectomy to remove the tumor as well as some lymph nodes. Blood tests were done to follow tumor markers. Another lump was detected in 2003. A blood test from 7/14/03 showed CA 125 levels at 215. A CT scan performed on 7/21/03 diagnosed Stage IV infiltrating ductal breast cancer with metastases in the lung, liver and adrenal gland. Pathology reports confirmed the breast tumor. A mass in the right chest wall measured 4 x 4 cm and the mass near the mid-portion of the sternum on the right side measured 3.8 x 2.5 cm. with another “… soft tissue mass in the medial aspect of the right breast and … separate masses adjacent.” Numerous pulmonary nodules were also present, the largest of which was 1.1 x 1.1cm in the right lower lobe and scattered nodules in the left lung. There was also a 1.5 x1.2 cm mass on the left adrenal gland. There was also a liver lesion that was not mentioned on the CT scan of 7/21/03, but measured 3 x 3cm on the CT scan from 8/30/03.

Initial Treatment

The patient refused a mastectomy at both outsets of disease. She had a lumpectomy and a right axillary node dissection on 12/14/00. She had two rounds of standard chemotherapy in 2001, but due to the side effects, she halted the treatments preferring to seek out alternative methods.

IPT History

The patient was seeing Dr. Hauser after her the lumpectomy. With therecurrence of cancer in 2003, the patient received two treatments of IPT with Dr. Hauser. Due to financial and personal considerations, the patient transferred to Dr. Ayre.

First Round: The patient received 18 treatments from 8/5/03 to 1/20/04. After six treatments a CT scan was performed on 8/29/03. There was overall interval improvement with a decrease of tumor load of the breast, chest wall and lung. The mass in the right parasternal location measured 2.5 x1.5 cm and the nodular mass in the right breast was 1 x .7cm. It states that only the largest pulmonary nodules remain – with a decrease in their size and number – and a decrease greater than 50% of the smaller nodules, with none measuring more than 1cm. The mass on the adrenal gland showed no change, nor did the liver lesion. After 12 treatments another CT scan was performed on 10/20/03. The parasternal mass in the chest was almost completely resolved. Only several small nodules where noted in the lungs and these “…appear stable to slightly less prominent,’as compared to last exam, with no new nodules developing. Once again, there was no change in the liver lesion or adrenal mass. From Dr. Ayre’s notes, the patient claimed to feel “fantastic, great!” while having the treatments. The last treatment for this round was performed in January of 2004. The patient would continue own care through diet and supplements due to personal beliefs about chemotherapy.

Second Round: The patient began to complain of weight loss in May 2004. A PET scan was performed 5/6/04 with a follow up CT scan recommended. The CT scan showed worsening of the masses and nodules in the breast and lung and growth of the liver metastases. She did not want to have IPT at the time and opted for other alternative therapies. She returned once again to Dr. Ayre on 1/3/05. The cancer had spread to the bone and there was worsening of the other masses. She received 37 more IPT treatments until 6/13/05. The patient was in active treatment of cancer for five months, of her own volition, although there were no clinical signs of improvement.

Adjuvant Therapies

The patient started following a vegetarian diet when diagnosed at the first outset of cancer. She took supplements as well as had tried many different alternative therapies like H2O2 and high dose Vitamin C.

The patient died 8/1/05.

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