postmenopausal Caucasian woman had a routine mammography

Maria, a 57-year-old postmenopausal Caucasian woman had a routine mammography screening 2 years ago and was found to have an architectural distortion in the upper outer quadrant of her left breast. A core needle biopsy revealed an invasive ductal carcinoma, estimated by imaging to be a T1 lesion. She underwent a lumpectomy/sentinel lymph node biopsy that revealed a 1.5-cm invasive ductal carcinoma that was estrogen receptor (ER)-negative, progesterone-receptor (PR)-negative, human epidermal growth factor receptor 2 (HER2)-positive cancer by fluorescence in situ hybridization (FISH), with a Ki-67 value of 25%. No cancerous tissue was found to be involved in a dissection of 2 sentinel lymph nodes.

Maria received radiation therapy and adjuvant chemotherapy with targeted trastuzumab therapy for 1 year. However, during her 2-year follow-up visit, Maria complained of excessive cough and mild shortness of breath. Her oncologist immediately ordered a chest CT scan, which revealed mild left pleural effusion and multiple nodules (up to 1 cm) in the left, middle, and lower lobes. Immunohistochemistry (IHC) of her biopsy confirmed ER-/PR-/HER2 3+. Other metastases were not observed in CT or bone scans.

Maria and her daughters met with her medical oncologist to discuss the diagnostic findings and the next steps for treatment. Concerned and confused about why her initial treatment did not work, Maria and her daughters posed multiple questions to the oncologist:

  • What treatment options are available to me at this point?
  • Which therapy is expected to have the best outcomes?
  • What is the likelihood that this therapy will cure my metastatic disease?
  • Are there are any new therapies available for my disease?
  • Are there clinical trials on investigational drugs that are showing better survival results than outcomes for patients on currently available therapies?
  • Is there anything I can do to make this treatment work better?
Order a unique copy of this paper
(550 words)

Approximate price: $22

Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency

Order your essay today and save 7% with the discount code NPW7